Individual provider Active NPI

Kristin Wilhite, HHP, CMT, WFNC, CNLP

  • Nutrition Education Nutritionist
  • San Diego, CA
National Provider Identifier
1366745242
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
2801 Camino del Rio S Ste 211
San Diego, CA 92108-3860
Phone
(858) 774-2129
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 199712447 CA
Nutritionist 133N00000X
Health Educator 174H00000X 199712447 CA
Specialist 174400000X 199712447 CA
Nutrition Education Nutritionist 133NN1002X Primary

Addresses

Primary practice location

2801 Camino del Rio S Ste 211
San Diego, CA 92108-3860

Mailing address

1765 Garnet Ave # 85
San Diego, CA 92109-3351
Phone (858) 774-2129

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

State licenses

LicenseStateTypeSpecialty
199712447CAMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1366745242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 GARNET AVE # 85",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093351",
            "telephone_number": "858-774-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S STE 211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083860",
            "telephone_number": "858-774-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "KRISTIN",
        "credential": "HHP, CMT, WFNC, CNLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CA",
            "license": "199712447",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "199712447",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "199712447",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.