Individual provider Active NPI

Kristin Vanira Wilkins, RD, LDN

  • Registered Dietitian
  • Cumberland, MD
National Provider Identifier
1376911719
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4296 Issued in MD
Practice address
12502 Willowbrook Rd Ste 300
Cumberland, MD 21502-6498
Phone
(240) 964-8787
Fax
(240) 964-8786
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN004540 PA
Registered Dietitian 133V00000X DX4296 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd Ste 300
Cumberland, MD 21502-6498

Mailing address

PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-8342

Other practice location 1

10455 Lincoln Hwy
Everett, PA 15537-7046
Phone (814) 623-6161 ext. 3596

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

State licenses

LicenseStateTypeSpecialty
DN004540PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Dietitian, Registered Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristin.wilkins@upmcdirect.com

Organizations & group practices 2

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1376911719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 300",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026498",
            "telephone_number": "240-964-8787",
            "fax_number": "240-964-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10455 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "PA",
            "postal_code": "155377046",
            "country_code": "US",
            "telephone_number": "814-623-6161 x3596",
            "fax_number": "814-623-3543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "KRISTIN",
        "middle_name": "VANIRA",
        "name_prefix": "Ms.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004540",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.