Kim M Vives-Lawal, MS. RD. CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00720405 Issued in NY

Practice address

100 Casals PL
4G
Bronx, NY 10475-3002

Phone

(718) 379-0436

NPI assigned

Aug 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344643200000",
    "number": "1609123454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CASALS PL",
            "address_2": "4G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753002",
            "telephone_number": "718-379-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASALS PL",
            "address_2": "4G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753002",
            "telephone_number": "718-379-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVES-LAWAL",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS. RD. CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2012-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "00720405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Vittorio, M.D.
• Daniel Antonio Vivar
• Alejandra Vivas Carbo, MD
• Alvaro Jose Vivas Salinas, MD
• Kumar Vivek, M.D.
• Vivid Vision Optometry PLLC
• Pascale Vixama, DNP, FNP-BC
• Belkis Josefina Vizcaino-Reyes, M.D.
• Olga Vladagina, OTR/L
• Christine Vlahos, PT

• Registered Dietitian in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; 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.