Kim M Davy-McClure, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5387258-4901 Issued in UT

Practice address

5770 S 250 E
Suite 310
Murray, UT 84107-8100

Phone

(801) 314-4500

Fax

(801) 314-2909

NPI assigned

Mar 19, 2008

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

• Ms. Kim M Davy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1588835367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-233-4400",
            "fax_number": "801-233-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "SUITE 310",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4500",
            "fax_number": "801-314-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVY-MCCLURE",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "5387258-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "DAVY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RD, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Davis, PT, DPT
• Nathan W Davis, D.P.M.
• Roy Kim Davis, M.D.
• Roy Neal Davis, M.D.
• Virgil Welch Davis III, M.D.
• Pablo De Oliveira Bautista
• Elane De Vos
• Lindsey Dean, PA-C
• Karen S. Dearing, PHD, APRN
• Alina Katherine Decarolis, OTR/L

• Registered Dietitian in Murray, UT
• Providers in Murray, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.