Active NPI
Karis Kimberly Jentink, RDN
- Registered Dietitian
- Aurora, CO
National Provider Identifier
1386416436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86295774
- Practice address
- 3810 S Ouray Way
Aurora, CO 80013-2861 - Phone
- (303) 909-6262
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86295774 | CO | Primary |
Addresses
Primary practice location
3810 S Ouray Way
Aurora, CO 80013-2861
Mailing address
3810 S Ouray Way
Aurora, CO 80013-2861
Phone (303) 909-6262
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86295774 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1386416436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 S OURAY WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800132861",
"telephone_number": "303-909-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 S OURAY WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800132861",
"telephone_number": "303-909-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENTINK",
"first_name": "KARIS",
"middle_name": "KIMBERLY",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86295774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.