Individual provider Active NPI

Kimberly Burns, RD, LD

  • Registered Dietitian
  • New Port Richey, FL
National Provider Identifier
1366674897
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5040 Issued in FL
Practice address
5640 Main St
Suite 100
New Port Richey, FL 34652-2637
Phone
(727) 841-4425
Fax
(727) 841-4222
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND5040 FL Primary

Addresses

Primary practice location

5640 Main St
Suite 100
New Port Richey, FL 34652-2637

Mailing address

5640 Main St
Suite 100
New Port Richey, FL 34652-2637
Phone (727) 841-4425

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1366674897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 MAIN ST",
            "address_2": "SUITE 100",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522637",
            "telephone_number": "727-841-4425",
            "fax_number": "727-841-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 MAIN ST",
            "address_2": "SUITE 100",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522637",
            "telephone_number": "727-841-4425",
            "fax_number": "727-841-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KIMBERLY",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.