Individual provider Active NPI

Kimberly Altman, DIETITIAN

  • Registered Dietitian
  • Ramrod Key, FL
National Provider Identifier
1225235708
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
27385 Saint Lucie LN
Ramrod Key, FL 33042-5430
Phone
(609) 509-4969
Fax
(856) 210-0340
NPI assigned
Jun 28, 2007
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 ND6023 FL
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

27385 Saint Lucie LN
Ramrod Key, FL 33042-5430

Mailing address

27385 Saint Lucie LN
Ramrod Key, FL 33042-5430
Phone (609) 509-4969

Other practice location 1

5130 Linton Blvd
Suite H-1
Delray Beach, FL 33484-6596
Phone (561) 807-2561

Other names 1

  • Kimberly Gomer Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND6023FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1225235708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27385 SAINT LUCIE LN",
            "city": "RAMROD KEY",
            "state": "FL",
            "postal_code": "330425430",
            "telephone_number": "609-509-4969",
            "fax_number": "856-210-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27385 SAINT LUCIE LN",
            "city": "RAMROD KEY",
            "state": "FL",
            "postal_code": "330425430",
            "telephone_number": "609-509-4969",
            "fax_number": "856-210-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Linton Blvd",
            "address_2": "Suite H-1",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846596",
            "country_code": "US",
            "telephone_number": "561-807-2561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "KIMBERLY",
        "credential": "DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6023",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GOMER",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ramrod Key, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.