Active NPI
Kristin Kathleen Porter, RD, LD
- Registered Dietitian
- Kansas City, KS
National Provider Identifier
1215277694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1121
- Practice address
- 10124 Hutton Road
Kansas City, KS 66109 - Phone
- (913) 208-5175
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 1121 | KS | Primary |
Addresses
Primary practice location
10124 Hutton Road
Kansas City, KS 66109
Mailing address
10124 Hutton Rd
Kansas City, KS 66109
Phone (913) 208-5175
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 |
|---|---|---|---|
| 1121 | KS | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1215277694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10124 HUTTON RD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66109",
"telephone_number": "913-208-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10124 HUTTON ROAD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66109",
"telephone_number": "913-208-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KRISTIN",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.