Active NPI
Kiara J Davis, RD
- Registered Dietitian
- Indianapolis, IN
National Provider Identifier
1114538998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86150132
- Practice address
- 4946 Lewiston Dr
Indianapolis, IN 46254-7101 - Phone
- (317) 657-7948
- NPI assigned
- Aug 13, 2020
- Last updated
- Dec 3, 2024
- 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 | 86150132 | IN | Primary |
Addresses
Primary practice location
4946 Lewiston Dr
Indianapolis, IN 46254-7101
Mailing address
11349 High Timber Dr
Indianapolis, IN 46235-6125
Phone (317) 657-7948
Other names 1
- Kiara Thompson
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 |
|---|---|---|---|
| 86150132 | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis and Davis Dietary LLC | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1114538998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11349 HIGH TIMBER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462356125",
"telephone_number": "317-657-7948",
"fax_number": "833-792-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4946 LEWISTON DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462547101",
"telephone_number": "317-657-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KIARA",
"middle_name": "J",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "86150132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIARA",
"last_name": "THOMPSON",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.