Valarie Diane Greenleaf-Kisner, MS, RD, LD,CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00047 Issued in KS

Practice address

9415 E Harry St Ste 407
Wichita, KS 67207-5083

Phone

(316) 253-2604

Fax

(316) 634-3789

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Healthy Green Nutrition, LLC

  • Registered Dietitian
  • Wichita, KS
  • NPI 1568839868

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Hillsboro Hospital LLC

  • Emergency Care Clinic/Center
  • Hillsboro, KS
  • NPI 1710525985
  Medicare reassignment NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1386726057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 E BOXTHORN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268263",
            "telephone_number": "316-253-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 407",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075083",
            "telephone_number": "316-253-2604",
            "fax_number": "316-634-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEAF-KISNER",
        "first_name": "VALARIE",
        "middle_name": "DIANE",
        "credential": "MS, RD, LD,CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "00047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210590F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "130432",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• August Danielle Greene
• Mindy Lynn Greene, LMSW
• Shane Greene, LPN
• Bailee Greenhaw, LSCSW
• Greenleaf Chiropractic LLC
• Clarissa Greenleaf, COA
• Melanie Anne Greenwood, MD
• Susan Diane Greep
• Bree A Greer, APRN
• Gregory Gene Greer, MD

• Registered Dietitian in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.