Olivia Nicole Kinkade, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI200001528 Issued in DC

Practice address

1612 U St NW
Washington, DC 20009-6221

Phone

(304) 282-9882

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Liv Love Co. LLC

  • Registered Dietitian
  • Washington, DC
  • NPI 1124969720

  Dietitian, Registered

  NPD Authorized official
• Evolve Nutrition LLC

  • Registered Dietitian
  • Washington, DC
  • NPI 1942906003

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1649055617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096221",
            "telephone_number": "304-282-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKADE",
        "first_name": "OLIVIA",
        "middle_name": "NICOLE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI200001528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onoriode Kingsley
• Leslie Webster Kingslow, MD
• Kingsman Academy Public Charter School
• Kingston Psychological Services
• Terani Kingwood
• Mary Nora O'Neill Kinler, MS, APRN, FNP-BC
• Macy Kinley
• Rebecca Kinnebrew
• Terriekki Reshun Kinnell, M.ED.
• Lakisha Kinney

• Registered Dietitian in Washington, DC
• Providers in Washington, DC by specialty
• Registered Dietitian in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.