Individual provider Active NPI

Kristin Jenkins

  • Registered Dietitian
  • Greenbelt, MD
National Provider Identifier
1164020574
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX5096 Issued in MD
Practice address
6301 Ivy LN Ste 410
Greenbelt, MD 20770-6357
Phone
(301) 474-2499
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX5096 MD Primary

Addresses

Primary practice location

6301 Ivy LN Ste 410
Greenbelt, MD 20770-6357

Mailing address

6301 Ivy LN Ste 410
Greenbelt, MD 20770-6357
Phone (301) 474-2499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021001309 DC Practitioner - Registered Dietitian Or Nutrition Professional 2365862984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX5096MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Bitzer Ms Rd & Associates Inc Dietitian, Registered CurrentSince Oct 19, 2020 Accepting new patients

Locations

6301 Ivy Ln
Ste 410
Greenbelt, MD 20770
Phone (301) 474-2499

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1164020574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 IVY LN STE 410",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706357",
            "telephone_number": "301-474-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 IVY LN STE 410",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706357",
            "telephone_number": "301-474-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX5096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.