Active NPI
Kimberly Sue Steinbacher, R.D., CDE
- Registered Dietitian
- Wellsboro, PA
National Provider Identifier
1487791380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000249
- Practice address
- 7 Water St
Wellsboro, PA 16901-1126 - Phone
- (570) 724-1010
- Fax
- (570) 724-3970
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 | DN000249 | PA | Primary |
Addresses
Primary practice location
7 Water St
Wellsboro, PA 16901-1126
Mailing address
7 Water St
Wellsboro, PA 16901-1126
Phone (570) 724-1010
Other names 1
- Kimberly Sue Miller
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 |
|---|---|---|---|
| 006066 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Chemung Medical Services PC | 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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1356378889
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1487791380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WATER ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011126",
"telephone_number": "570-724-1010",
"fax_number": "570-724-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WATER ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011126",
"telephone_number": "570-724-1010",
"fax_number": "570-724-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINBACHER",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"credential": "R.D., CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "MILLER",
"middle_name": "SUE",
"credential": "RD CDE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wellsboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.