Kristen Jeanne Spanik, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

601 Childrens LN
Norfolk, VA 23507-1910

Phone

(757) 668-9558

Fax

(757) 668-7915

NPI assigned

Aug 31, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1235241589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 THREE NOTCHED RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236926105",
            "telephone_number": "703-402-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-9558",
            "fax_number": "757-668-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANIK",
        "first_name": "KRISTEN",
        "middle_name": "JEANNE",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Ambulance Service LLC
• Patrick Sowa, MD
• Valerie Sowder, LCSW
• SP Lafayette Villa LLC
• Kimberly Mary Span, MD
• Kyle Allen Spanik, PA-C
• Karen Yvette Spann, MED
• James P Sparrer, MD
• Edward Robin Spearman
• Wendy Lynn Speca, MS, RBT

• Registered Dietitian in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.