Kimble, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND3529 Issued in FL

Legal business name

KIMBLE, INC.

Practice address

5263 Images Cir
#106
Kissimmee, FL 34746-4756

Phone

(407) 397-9705

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Miss Laurie Wenzel, RD

Title

Dietitian

Phone

(407) 397-9705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1245631431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 IMAGES CIR",
            "address_2": "#106",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464756",
            "telephone_number": "407-397-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 IMAGES CIR",
            "address_2": "#106",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464756",
            "telephone_number": "407-397-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "407-397-9705",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angelika King, COTA/L
• Tiana S King, DNP, FNP-BC PMHNP-BC
• Kingdom Behavior Principles

• Registered Dietitian in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.