Active NPI
Kasey E Chmura, R.D.
- Registered Dietitian
- Randolph, VT
National Provider Identifier
1205077971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0740000230
- Practice address
- 44 S Main St
Randolph, VT 05060-1381 - Phone
- (802) 728-2372
- Fax
- (802) 728-2613
- NPI assigned
- Mar 10, 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 | 0740000230 | VT | Primary |
Addresses
Primary practice location
44 S Main St
Randolph, VT 05060-1381
Mailing address
44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-2372
Other names 1
- Kasey E McManmon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0740000230 | VT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1205077971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601381",
"telephone_number": "802-728-2372",
"fax_number": "802-728-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601381",
"telephone_number": "802-728-2372",
"fax_number": "802-728-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHMURA",
"first_name": "KASEY",
"middle_name": "E",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VT",
"license": "0740000230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASEY",
"last_name": "MCMANMON",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Randolph, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.