Active NPI
Kimberly Edwards
- Registered Dietitian
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 712
- Practice address
- 990 Ribaut Rd
Beaufort, SC 29902-8011 - Phone
- (843) 522-5562
- NPI assigned
- Aug 31, 2015
- Last updated
- Aug 31, 2015
- 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 | 712 | SC | Primary |
Addresses
Primary practice location
990 Ribaut Rd
Beaufort, SC 29902-8011
Mailing address
990 Ribaut Rd
Beaufort, SC 29902-8011
Phone (843) 522-5562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
955 Ribaut Rd
#C
Beaufort, SC 29902
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
990 Ribaut Rd
Beaufort, SC 29902
Phone (843) 522-5565
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
dba Beaufort Memorial Hospital
- General Acute Care Hospital
- Beaufort, SC
- NPI 1063596443
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1285001834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299028011",
"telephone_number": "843-522-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299028011",
"telephone_number": "843-522-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
- Earl Bostick,Sr. D.M.D & Assoc. P.a.
- Earthfit PT LLC
- East Cooper Physician Group LLC (Novant Health General Surgery and Bariatrics)
- Maya Nicolette Edinburgh-Taylor, M.S., CCC-SLP
- Clara Grace Edwards, RBT
- Michael Charles Edwards Jr., DPM
- Lori Elias
- Jessica Elkins
- Kurt Richard Ellenberger, M.D.
- Karen Eller, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.