Active NPI
Kayla Pinkley, MS, RD, LD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1225719701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2023001386
- Practice address
- 3655 Vista Ave
Saint Louis, MO 63110-2539 - Phone
- (314) 617-3685
- Fax
- (314) 977-1867
- NPI assigned
- Jul 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | 2023001386 | MO | |
| Registered Dietitian | 133V00000X | 2023001386 | MO | Primary |
Addresses
Primary practice location
3655 Vista Ave
Saint Louis, MO 63110-2539
Mailing address
1065 S Deer TRL
Fredericktown, MO 63645-7832
Phone (573) 561-6189
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023001386 | MO | MD | Oncology Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| XP Sports International | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1225719701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 S DEER TRL",
"city": "FREDERICKTOWN",
"state": "MO",
"postal_code": "636457832",
"telephone_number": "573-561-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-617-3685",
"fax_number": "314-977-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKLEY",
"first_name": "KAYLA",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "MO",
"license": "2023001386",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2023001386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.