Active NPI
Kimberly Yawitz, RD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1366200339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2016038550
- Practice address
- 6 Berkshire Dr
Saint Louis, MO 63117-1026 - Phone
- (314) 323-3603
- NPI assigned
- Mar 13, 2024
- 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 | 2016038550 | MO | Primary |
Addresses
Primary practice location
6 Berkshire Dr
Saint Louis, MO 63117-1026
Mailing address
6 Berkshire Dr
Saint Louis, MO 63117-1026
Phone (314) 323-3603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016038550 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1366200339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BERKSHIRE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171026",
"telephone_number": "314-323-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BERKSHIRE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171026",
"telephone_number": "314-323-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAWITZ",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2016038550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.