Active NPI
Kidney Counselor,LLC
- Clinic/Center
- Montgomery, AL
National Provider Identifier
1568560696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 270
- Legal business name
- KIDNEY COUNSELOR,LLC
- Practice address
- 4163 Lomac St
Montgomery, AL 36106-2881 - Phone
- (334) 396-5570
- Fax
- (334) 396-5572
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cecilia Cook Dalton IX, R.D.,L.D.
- Title
- President/Owner
- Phone
- (334) 202-4342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 270 | AL | Primary |
Addresses
Primary practice location
4163 Lomac St
Montgomery, AL 36106-2881
Mailing address
207 Arrowhead Dr
Montgomery, AL 36117-4105
Phone (334) 202-4342
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Renal Nutrition Registered Dietitian
- Montgomery, AL
- NPI 1023117595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568560696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 ARROWHEAD DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174105",
"telephone_number": "334-202-4342",
"fax_number": "334-277-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4163 LOMAC ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062881",
"telephone_number": "334-396-5570",
"fax_number": "334-396-5572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY COUNSELOR,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "CECILIA",
"authorized_official_middle_name": "COOK",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "334-202-4342",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_name_suffix": "IX",
"authorized_official_credential": "R.D.,L.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "AL",
"license": "270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.