Active NPI
Kristina Vera, RD
- Registered Dietitian
- Washington, DC
National Provider Identifier
1043691215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3735
- Practice address
- 1011 1St St SE
Apt 914
Washington, DC 20003-3392 - Phone
- (512) 590-1585
- NPI assigned
- Jun 14, 2015
- Last updated
- Jun 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI100000720 | DC | |
| Registered Dietitian | 133V00000X | DX3735 | MD | Primary |
Addresses
Primary practice location
1011 1St St SE
Apt 914
Washington, DC 20003-3392
Mailing address
1011 1St St SE
Apt 914
Washington, DC 20003-3392
Phone (512) 590-1585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI100000720 | DC | MD | Registered Dietitian |
| DX3735 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KV Total Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434240000000",
"number": "1043691215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 1ST ST SE",
"address_2": "APT 914",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033392",
"telephone_number": "512-590-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 1ST ST SE",
"address_2": "APT 914",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033392",
"telephone_number": "512-590-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "KRISTINA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2015-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI100000720",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX3735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.