Active NPI
Kristen Layfield Harbin
- Registered Dietitian
- Winder, GA
National Provider Identifier
1427574185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004661
- Practice address
- 827 Jefferson Hwy
Winder, GA 30680 - Phone
- (678) 570-5657
- NPI assigned
- Aug 15, 2017
- Reactivated
- Aug 20, 2024
- 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 | LD004661 | GA | Primary |
Addresses
Primary practice location
827 Jefferson Hwy
Winder, GA 30680
Mailing address
2137 Arbor Hill Rd
Canton, GA 30115-7003
Phone (678) 570-5657
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 |
|---|---|---|---|
| LD004661 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1427574185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 ARBOR HILL RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301157003",
"telephone_number": "678-570-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 JEFFERSON HWY",
"city": "WINDER",
"state": "GA",
"postal_code": "30680",
"telephone_number": "678-570-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBIN",
"first_name": "KRISTEN",
"middle_name": "LAYFIELD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"deactivation_date": "2020-06-02",
"reactivation_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.