Kenia Cardona Velasco, RDN.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86069328

Practice address

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365

Phone

(661) 862-5422

NPI assigned

Jul 11, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1043838428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 DR MARTIN LUTHER KING JR BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933071365",
            "telephone_number": "661-862-5422",
            "fax_number": "661-322-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 DR MARTIN LUTHER KING JR BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933071365",
            "telephone_number": "661-862-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Truxtun Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933015220",
            "country_code": "US",
            "telephone_number": "661-862-5422 x5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA VELASCO",
        "first_name": "KENIA",
        "credential": "RDN.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86069328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT YET ACCEPTING INSURANCE.",
            "identifier": "1043838428",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Cardenas
• Jose Roberto Cardenas
• Patricia Cardenas
• Paula Cardenas
• Yvette Elvira Cardenaz
• Genesis Marie Cardona
• Veronica Cardona
• Jose Cardoza
• Zaida Y Cardoza
• Anastassia Susan Cardwell

• Registered Dietitian in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.