Active NPI
Abbi Nichole Kifer, RD, LD
- Registered Dietitian
- Mount Storm, WV
National Provider Identifier
1497014773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 697
- Practice address
- 3333 Bismarck Road
Mount Storm, WV 26739-0120 - Phone
- (304) 693-7696
- NPI assigned
- May 8, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 697 | WV | Primary |
| Registered Dietitian | 133V00000X | DX2416 | MD |
Addresses
Primary practice location
3333 Bismarck Road
Mount Storm, WV 26739-0120
Mailing address
PO Box 120
Mount Storm, WV 26739-0120
Phone (304) 693-7696
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 |
|---|---|---|---|
| DX2416 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1497014773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120",
"city": "MOUNT STORM",
"state": "WV",
"postal_code": "267390120",
"telephone_number": "304-693-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BISMARCK ROAD",
"city": "MOUNT STORM",
"state": "WV",
"postal_code": "267390120",
"telephone_number": "304-693-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIFER",
"first_name": "ABBI",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-08",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "697",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2416",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Storm, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.