Individual provider Active NPI

Kimberly Lewandowski, R.D.

  • Registered Dietitian
  • Seekonk, MA
National Provider Identifier
1396750220
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00923221 Issued in MA
Practice address
1087 Newman Ave Unit 3
Seekonk, MA 02771-4424
Phone
(508) 557-1432
Fax
(508) 318-1117
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00923221 MA Primary

Addresses

Primary practice location

1087 Newman Ave Unit 3
Seekonk, MA 02771-4424

Mailing address

1087 Newman Ave Unit 3
Seekonk, MA 02771-4424
Phone (508) 557-1432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223000467 MA Practitioner - Registered Dietitian Or Nutrition Professional 6204363799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00923221CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Revival, PC CurrentSince Nov 4, 2024 Accepting new patients

Locations

1087 Newman Ave
Unit 3
Seekonk, MA 02771
Phone (508) 557-1432

235 Taunton Ave
Seekonk, MA 02771
Phone (508) 557-1432

1087 Newman Ave
Seekonk, MA 02771
Phone (508) 441-7462

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1396750220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 NEWMAN AVE UNIT 3",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027714424",
            "telephone_number": "508-557-1432",
            "fax_number": "508-318-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 NEWMAN AVE UNIT 3",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027714424",
            "telephone_number": "508-557-1432",
            "fax_number": "508-318-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "KIMBERLY",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "00923221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.