Active NPI
Kimberly Ann Flynn
- Registered Dietitian
- Chelmsford, MA
National Provider Identifier
1588412704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5318
- Practice address
- 2 Courthouse LN Ste 10
Chelmsford, MA 01824-1723 - Phone
- (978) 360-8914
- NPI assigned
- May 13, 2024
- 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 | 1290 | NH | |
| Registered Dietitian | 133V00000X | 5318 | MA | Primary |
Addresses
Primary practice location
2 Courthouse LN Ste 10
Chelmsford, MA 01824-1723
Mailing address
47 Newbury St
Lowell, MA 01851-3939
Phone (978) 360-8914
Other practice location 1
47 Newbury St
Lowell, MA 01851-3939
Phone (978) 360-8914
Other names 1
- Kimberly Ann Farrand
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1290 | NH | MD | Optician |
| 5318 | MA | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1588412704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 NEWBURY ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018513939",
"telephone_number": "978-360-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COURTHOUSE LN STE 10",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018241723",
"telephone_number": "978-360-8914"
}
],
"practiceLocations": [
{
"address_1": "47 Newbury St",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018513939",
"country_code": "US",
"telephone_number": "978-360-8914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLYNN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1290",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "FARRAND",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.