Active NPI
Krista Shibley, RD
- Registered Dietitian
- Martinsville, VA
National Provider Identifier
1225367667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1038506
- Practice address
- 320 Hospital Drive
Memorial Hospital of Martinsville
Martinsville, VA 24112 - Phone
- (276) 666-7200
- NPI assigned
- Dec 14, 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 | 1038506 | NH | Primary |
Addresses
Primary practice location
320 Hospital Drive
Memorial Hospital of Martinsville
Martinsville, VA 24112
Mailing address
159 Country Wood LN
Apt # 2
Collinsville, VA 24078-2886
Phone (603) 387-5196
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1038506 | NH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1225367667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 COUNTRY WOOD LN",
"address_2": "APT # 2",
"city": "COLLINSVILLE",
"state": "VA",
"postal_code": "240782886",
"telephone_number": "603-387-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 HOSPITAL DRIVE",
"address_2": "MEMORIAL HOSPITAL OF MARTINSVILLE",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "24112",
"telephone_number": "276-666-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIBLEY",
"first_name": "KRISTA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1038506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.