Individual provider Active NPI

Julie Kimble, RD, LDN

  • Registered Dietitian
  • Willow Grove, PA
National Provider Identifier
1174299275
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003187 Issued in PA
Practice address
134 Greyhorse Rd
Willow Grove, PA 19090-1607
Phone
(610) 246-4742
NPI assigned
Aug 18, 2021
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003187 PA Primary
Registered Dietitian 133V00000X 933657 AZ

Addresses

Primary practice location

134 Greyhorse Rd
Willow Grove, PA 19090-1607

Mailing address

134 Greyhorse Rd
Willow Grove, PA 19090-1607
Phone (610) 246-4742

Other practice location 1

130 E Congress St Ste 200-139
Tucson, AZ 85701-1708
Phone (888) 807-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, WI, DC, IA, PA, GA7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20250228000238 TX Practitioner - Registered Dietitian Or Nutrition Professional 5294255634 Reassigns benefits to 2 organizations
I20250415002070 AZ Practitioner - Registered Dietitian Or Nutrition Professional 5294255634 Reassigns benefits to 3 organizations
I20250416001153 WI Practitioner - Registered Dietitian Or Nutrition Professional 5294255634 Reassigns benefits to 1 organization
I20250523000989 DC Practitioner - Registered Dietitian Or Nutrition Professional 5294255634 Reassigns benefits to 1 organization
I20250617000761 IA Practitioner - Registered Dietitian Or Nutrition Professional 5294255634 Reassigns benefits to 1 organization
I20250912003984 PA Practitioner - Registered Dietitian Or Nutrition Professional 5294255634 Reassigns benefits to 1 organization
I20250922000820 GA Practitioner - Registered Dietitian Or Nutrition Professional 5294255634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926

3480 Preston Ridge Rd
Suite 500
Alpharetta, GA 30005-5460
Phone (412) 287-4983

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
933657AZMDRegistered Dietitian
DN003187PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Uhling Consulting, LLC Dietitian, Registered CurrentSince Feb 14, 2025 Accepting new patients
Surely Health, Inc. Dietitian, Registered CurrentSince Jan 1, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Jan 1, 2025 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248

20325 N 51st Ave
Ste 166
Glendale, AZ 85308
Phone (602) 341-5248

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

130 E Congress St
Ste 213
Tucson, AZ 85701

3480 Preston Ridge Rd
Ste 500
Alpharetta, GA 30005
Phone (412) 287-4983

1120 Depot Ln SE
Ste 100
Cedar Rapids, IA 52401
Phone (319) 237-3193

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (469) 395-8402

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (262) 239-7327

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1174299275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GREYHORSE RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901607",
            "telephone_number": "610-246-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GREYHORSE RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901607",
            "telephone_number": "610-246-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E Congress St Ste 200-139",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857011708",
            "country_code": "US",
            "telephone_number": "888-807-4117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003187",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "933657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.