Active NPI
Kimberly Marie Panepinto
- Registered Dietitian
- Castle Rock, CO
National Provider Identifier
1639039316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 872131
- Practice address
- 4797 Sunridge Terrace Dr
Castle Rock, CO 80109-7926 - Phone
- (650) 384-5705
- NPI assigned
- Nov 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 872131 | CO | Primary |
Addresses
Primary practice location
4797 Sunridge Terrace Dr
Castle Rock, CO 80109-7926
Mailing address
4797 Sunridge Terrace Dr
Castle Rock, CO 80109-7926
Phone (650) 384-5705
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 |
|---|---|---|---|
| 872131 | CO | MD | Registered Dietitian |
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": "1763078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1639039316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4797 SUNRIDGE TERRACE DR",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801097926",
"telephone_number": "650-384-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4797 SUNRIDGE TERRACE DR",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801097926",
"telephone_number": "650-384-5705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANEPINTO",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "872131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.