Kimberly Mazzoni, RDLDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN000911 Issued in PA

Practice address

144 Sunset Ave
Greenfield Township, PA 18407-3730

Phone

(570) 499-4340

Fax

(570) 499-4340

NPI assigned

Nov 25, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Mazzoni Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1497617757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SUNSET AVE",
            "city": "GREENFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "184073730",
            "telephone_number": "570-499-4340",
            "fax_number": "570-499-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SUNSET AVE",
            "city": "GREENFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "184073730",
            "telephone_number": "570-499-4340",
            "fax_number": "570-499-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZONI",
        "first_name": "KIMBERLY",
        "credential": "RDLDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MAZZONI",
            "credential": "RDLDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shelley Garrick
• Kayla Gatto, CRNP
• Greenfield TWP. Vol. Fire Co.
• Dylan Gary Kilmer
• Jennifer Lee Malak, P.T.
• Melissa McPartland, D.C.
• Alanna O'Malley
• Mary Retzbach
• Cathy Rivenburgh
• Ann Marie Rusnak, AGNP-C

• Registered Dietitian in Greenfield Township, PA
• Providers in Greenfield Township, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.