Kimberly Beth Minogue, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2088 Issued in MA

Practice address

148 Chestnut St
Needham, MA 02492-2505

Phone

(781) 453-3016

Fax

(781) 453-3654

NPI assigned

Jan 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAIBAA

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.

• Partners in Internal Medicine, PC

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1588680946
  NPD (past)
• Primary Physician Partners P.C

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1518971860
  NPD (past)
• Reliant Medical Group, Inc

  • Physical Therapist
  • Worcester, MA
  • NPI 1295827962
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1366628463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHALEN RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481710",
            "telephone_number": "781-724-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922505",
            "telephone_number": "781-453-3016",
            "fax_number": "781-453-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOGUE",
        "first_name": "KIMBERLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "469408",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA15809",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LD0145",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Barbara Miller, LICSW
• Andrew Sims Millett, MSPT
• Marnie Suzanne Millington, MS CCC SLP
• Marjorie Blake Milne
• Mindful Path Therapy LLC
• Robert David Mintz, PH.D., LMHC
• Grace Mirabile
• Selma Zelda Mirsky, L.I.C.S.W.
• Megan R Mistry, DO
• Clare Eileen Mitchell

• Registered Dietitian in Needham, MA
• Providers in Needham, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.