Kimberly D Powers, RD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86006992 Issued in AZ

Practice address

975 Depew St
Lakewood, CO 80214-2435

Phone

(602) 509-3432

NPI assigned

Apr 1, 2013

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 CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Am Nutrition Services

  • Registered Dietitian
  • Glendale, AZ
  • NPI 1003011602

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1073856746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 DEPEW ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802142435",
            "telephone_number": "602-509-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 DEPEW ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802142435",
            "telephone_number": "602-509-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17505 N 79th Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088725",
            "country_code": "US",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "RD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86006992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lynn Powell
• Travis Joel Powell
• Power-Up Performance LLC
• Power-Up Performance LLC
• Alexis Powers, BCBA
• Shannon Powers, M.A., CCC-SLP
• Mark Edward Prange, MA, LPC
• Merissa Pratt
• Anna Catherine Prchal Belcher, CRNA
• Lucas Cline Preble

• Registered Dietitian in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.