Organization Active NPI

B.Komplete, LLC

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1073916110
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005313 Issued in PA
Legal business name
B.KOMPLETE, LLC
Practice address
200 W Washington SQ
1002
Philadelphia, PA 19106-3513
Phone
(215) 764-9651
NPI assigned
Oct 3, 2014
Last updated
Oct 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Ms. Beryl F Krinsky, M.B.A, M.S., R.D.NNPI 1700201274
Title
Ceo
Phone
(215) 764-9651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005313 PA Primary

Addresses

Primary practice location

200 W Washington SQ
1002
Philadelphia, PA 19106-3513

Mailing address

200 W Washington SQ
1002
Philadelphia, PA 19106-3513
Phone (215) 764-9651

National Provider Directory

National Provider Directory

Locations

900 Route 168
Ste A2
Turnersville, NJ 08012
Phone (215) 764-9651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1073916110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W WASHINGTON SQ",
            "address_2": "1002",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063513",
            "telephone_number": "215-764-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WASHINGTON SQ",
            "address_2": "1002",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063513",
            "telephone_number": "215-764-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.KOMPLETE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "KRINSKY",
        "authorized_official_first_name": "BERYL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-764-9651",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A, M.S., R.D.N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.