Kimberly Simkin Glenn, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2094 Issued in GA

Practice address

820 Lake Summit Dr
Atlanta, GA 30342-1975

Phone

(678) 557-1306

NPI assigned

May 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Jewish Family & Career Services, Inc

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1134287501
  Medicare reassignment NPD

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1053847467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LAKE SUMMIT DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421975",
            "telephone_number": "678-557-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LAKE SUMMIT DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421975",
            "telephone_number": "678-557-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "KIMBERLY",
        "middle_name": "SIMKIN",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn R. Parris, MD PC
• Nitanna Glenn-Jackson, RBT
• Constance N Glenn-Madden
• Brandi Glenn
• Christine C Glenn, CRNA
• Patricia Glenn, M.D
• Glenwood Park Dentistry, PC
• Caroline Elise Glessner, DMD
• Richard B Glickstein, LCSW, LISW-CP
• Global Access Solutions, LLC

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.