NPIMap

Organization Active NPI

KB Nutrition, LLC

  • Registered Dietitian
  • MC Leansville, NC
National Provider Identifier
1295619401
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KB NUTRITION, LLC
Practice address
5460 Smiley Wyrick Rd
MC Leansville, NC 27301-9728
Phone
(585) 406-4991
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Authorized official

Name
Kristine Boothe, RDNNPI 1831080357
Title
President
Phone
(585) 406-4991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

5460 Smiley Wyrick Rd
MC Leansville, NC 27301-9728

Mailing address

5460 Smiley Wyrick Rd
MC Leansville, NC 27301-9728
Phone (585) 406-4991

Other names 1

  • Craving Health Nutrition Therapy & Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755388800000",
    "number": "1295619401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 SMILEY WYRICK RD",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019728",
            "telephone_number": "585-406-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 SMILEY WYRICK RD",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019728",
            "telephone_number": "585-406-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-406-4991",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craving Health Nutrition Therapy & Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Leansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; 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.