Active NPI
Kimberly Jerome
- Registered Dietitian
- Washington, DC
National Provider Identifier
1497126155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI100000755
- Practice address
- 106 Irving St NW
Suite 3400 North
Washington, DC 20010-2927 - Phone
- (202) 877-7788
- NPI assigned
- Oct 7, 2015
- 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 | DI100000755 | DC | Primary |
Addresses
Primary practice location
106 Irving St NW
Suite 3400 North
Washington, DC 20010-2927
Mailing address
106 Irving St NW
Suite 3400 North
Washington, DC 20010-2927
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1497126155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 IRVING ST NW",
"address_2": "SUITE 3400 NORTH",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 IRVING ST NW",
"address_2": "SUITE 3400 NORTH",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102927",
"telephone_number": "202-877-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEROME",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI100000755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.