Kimbrough Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KIMBROUGH NUTRITION, LLC

Practice address

2525 Wallingwood Dr BLDG 1503
Austin, TX 78746-6923

Phone

(512) 798-3491

NPI assigned

Jan 28, 2019

Organization subpart

No

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

Authorized official

Name

Kathryn Kimbrough, RD, LDNPI 1689005001

Title

Registered Dietitian

Phone

(512) 798-3491

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kathryn Lyn Ebert Kimbrough, R.D., L.D.

  • Registered Dietitian
  • Austin, TX
  • NPI 1689005001

  Dietitian, Registered

  NPD Authorized official
• Katie Trent, RDN

  • Registered Dietitian
  • Austin, TX
  • NPI 1508370925

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1316401920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR BLDG 1503",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466923",
            "telephone_number": "512-798-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR BLDG 1503",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466923",
            "telephone_number": "512-798-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBROUGH NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "512-798-3491",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mauldin Heinrich, D.C.
• Kimberly Mullen DC PLLC
• Callah Kimble, OTR
• Hayley Kimble, LCSW
• Justen Kimble
• Anthony Curtis Kimbrough, MD
• Birch Kimbrough, MD
• Candace McWhirter Kimbrough, LPC, LCDC
• Kathryn Lyn Ebert Kimbrough, R.D., L.D.
• Ryan Douglas Kimbrough, MD

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.