Individual provider Active NPI

Kimberly Ann Scarpa, BSRD

  • Registered Dietitian
  • Pennsville, NJ
National Provider Identifier
1457567182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
65 Locust Ave
Pennsville, NJ 08070-1709
Phone
(856) 678-7373
Fax
(856) 678-7373
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

65 Locust Ave
Pennsville, NJ 08070-1709

Mailing address

65 Locust Ave
Pennsville, NJ 08070-1709
Phone (856) 678-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608001183 DE Practitioner - Registered Dietitian Or Nutrition Professional 9436303393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Dietitian, Registered CurrentSince Jun 1, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 1, 2023 Accepting new patients
Valente Properties LLC Dietitian, Registered Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 1211
Newark, DE 19713
Phone (302) 623-3052

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

Organizations & group practices 3

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457567182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LOCUST AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701709",
            "telephone_number": "856-678-7373",
            "fax_number": "856-678-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LOCUST AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701709",
            "telephone_number": "856-678-7373",
            "fax_number": "856-678-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "BSRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.