Elizabeth Kindamo, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003734 Issued in GA

Practice address

55 Carlton St
Athens, GA 30602-1503

Phone

(706) 542-8638

NPI assigned

Jul 23, 2019

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1386297877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021503",
            "telephone_number": "706-542-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021503",
            "telephone_number": "706-542-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDAMO",
        "first_name": "ELIZABETH",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athens",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Carlton St",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306021503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Walpert, M.D., LLC
• Ashlee R Kimbrell, M.D.
• Blake Steven Kimbrell, M.D.
• Jason Mathew Kimsey, PT, MSPT, COMT, DN
• Eric Teal Kinard, O.D.
• Carly Joy King, MT-BC, LP-MT
• Michelle Lisa King, LCSW
• Patrick E King, DPT
• Sarvotham Kini, MD
• Chelsea Alexandra Kinney

• Registered Dietitian in Athens, GA
• Providers in Athens, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.