Kendra Manwill, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

90839944901 Issued in UT

Practice address

1661 N 800 E
Lehi, UT 84043-3369

Phone

(385) 329-8459

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• KNM Dietetics, LLC

  • Registered Dietitian
  • Lehi, UT
  • NPI 1285111690

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1215332929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N 800 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433369",
            "telephone_number": "385-329-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N 800 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433369",
            "telephone_number": "385-329-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANWILL",
        "first_name": "KENDRA",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "90839944901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86011527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DOPL CERTIFICATION",
            "identifier": "9083994-4901",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Kaeann Malufau
• Mammoth Mental Health LLC
• Jonathan D Mann, CRNA
• Tanner John Manwaring, DNP, PMHNP-BC
• Kendall Manwill, LCSW
• Marianne Haines, PLLC
• Michael Dean Marion, M.D.
• Kimberly Martin, LMFT
• Sydney Martin
• Theresa Ann Martin

• Registered Dietitian in Lehi, UT
• Providers in Lehi, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.