Individual provider Active NPI

Kim S Geiringer

  • Nutritionist
  • Parkland, FL
National Provider Identifier
1548752694
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND7896 Issued in FL
Practice address
11074 NW 61St CT
Parkland, FL 33076
Phone
(172) 662-5019
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 814486
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X ND7896 FL Primary

Addresses

Primary practice location

11074 NW 61St CT
Parkland, FL 33076

Mailing address

11074 NW 61St Court
Parkland, FL 33076
Phone (917) 266-2501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412001016 FL Practitioner - Registered Dietitian Or Nutrition Professional 4082089610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation Multi-Specialty CurrentSince Oct 27, 2023 Accepting new patients
My Blood Work, LLC CurrentSince Mar 22, 2023 Accepting new patients

Locations

8767 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (305) 788-5539

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1548752694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11074 NW 61ST COURT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "917-266-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11074 NW 61ST CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "172-662-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIRINGER",
        "first_name": "KIM",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "814486",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND7896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.