Active NPI
Kimberly Gail Cloyd, R.D.
- Registered Dietitian
- Hopkinsville, KY
National Provider Identifier
1396840732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0548
- Practice address
- 210A Burley Avenue
Hopkinsville, KY 42240 - Phone
- (270) 889-0282
- Fax
- (270) 887-8340
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 9, 2007
- 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 | 0548 | KY | Primary |
Addresses
Primary practice location
210A Burley Avenue
Hopkinsville, KY 42240
Mailing address
545 Everett LN
Hopkinsville, KY 42240-9520
Phone (270) 886-3494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0548 | Other | KY | LICENSE # |
| 708255 | Other | DIETETIC REGISTRATION # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0548 | KY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radha Venkatramanan, PLLC | Past | Accepting new patients | |
| Christian County Health Department | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Hopkinsville, KY
- NPI 1912976069
-
- Preferred Provider Organization
- Hopkinsville, KY
- NPI 1013104470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396840732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 EVERETT LN",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422409520",
"telephone_number": "270-886-3494",
"fax_number": "270-707-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210A BURLEY AVENUE",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "42240",
"telephone_number": "270-889-0282",
"fax_number": "270-887-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOYD",
"first_name": "KIMBERLY",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "0548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "0548",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC REGISTRATION #",
"identifier": "708255",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.