Active NPI
Kim Jacobs, RDN
- Registered Dietitian
- Hays, KS
National Provider Identifier
1093364218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86032961
- Practice address
- 2020 Canterbury Drive
Hays, KS 67601 - Phone
- (785) 623-5176
- NPI assigned
- Sep 10, 2019
- 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 | 86032961 | KS | Primary |
Addresses
Primary practice location
2020 Canterbury Drive
Hays, KS 67601
Mailing address
27314 Plainview Dr
Kiowa, CO 80117-8827
Phone (720) 480-0387
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86032961 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1093364218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27314 PLAINVIEW DR",
"city": "KIOWA",
"state": "CO",
"postal_code": "801178827",
"telephone_number": "720-480-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CANTERBURY DRIVE",
"city": "HAYS",
"state": "KS",
"postal_code": "67601",
"telephone_number": "785-623-5176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "KIM",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "86032961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.