Active NPI
Krista Korody Zvoch, R.D
- Registered Dietitian
- Grand Blanc, MI
National Provider Identifier
1083847743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 10054 Shadybrook LN
Grand Blanc, MI 48439-8317 - Phone
- (810) 714-1105
- Fax
- (810) 714-1105
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
10054 Shadybrook LN
Grand Blanc, MI 48439-8317
Mailing address
PO Box 205
Fenton, MI 48430-0205
Phone (810) 714-1105
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1083847743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 205",
"city": "FENTON",
"state": "MI",
"postal_code": "484300205",
"telephone_number": "810-714-1105",
"fax_number": "810-714-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10054 SHADYBROOK LN",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398317",
"telephone_number": "810-714-1105",
"fax_number": "810-714-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZVOCH",
"first_name": "KRISTA",
"middle_name": "KORODY",
"name_prefix": "Mrs.",
"credential": "R.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.