Active NPI
Kimberly Renee Ayres, RD LD
- Registered Dietitian
- Durango, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 860735
- Practice address
- 810 E 3Rd St Unit 201
Durango, CO 81301-5759 - Phone
- (970) 764-1790
- Fax
- (970) 375-7927
- NPI assigned
- Aug 9, 2005
- Last updated
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 860735 | CO | Primary |
Addresses
Primary practice location
810 E 3Rd St Unit 201
Durango, CO 81301-5759
Mailing address
PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2232
Other practice location 1
1970 E 3rd Ave Ste 1
Durango, CO 81301-5049
Phone (970) 335-2288
Other names 1
- Kimberly Renee Underhill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 E 3Rd St
201 PRMN PC Mercy North
Durango, CO 81301-5759
Phone (970) 764-1790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1036 | KS | MD | Mental Health Counselor |
| 860735 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Healthcare | Current | Accepting new patients | |
| Total Healthcare | Current | Accepting new patients | |
| Southwest Colorado Mental Health Center, Inc | Current | Accepting new patients | |
| Total Healthcare | Past | Accepting new patients | |
| Nutrition in Motion | Dietitian, Registered | Past | Accepting new patients |
| Southwest Colorado Mental Health Center, Inc | Past | Accepting new patients | |
| Total Healthcare | Past | Accepting new patients |
Locations
480 Wolverine Dr
Ste 3
Bayfield, CO 81122
Phone (970) 764-9150
691 E Empire St
Cortez, CO 81321
Phone (970) 335-2232
495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291
1 Mercado St
Ste 160
Durango, CO 81301
Phone (970) 385-9850
1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288
810 E 3rd St
Unit 201
Durango, CO 81301
Phone (970) 764-1790
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durango, CO
- NPI 1932192598
-
dba Pikes Peak Cancer Specialists
- Hematology & Oncology Physician
- Colorado Springs, CO
- NPI 1669420410
-
dba Axis Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durango, CO
- NPI 1750901260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1669473161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "DURANGO",
"state": "CO",
"postal_code": "813021328",
"telephone_number": "970-335-2232",
"fax_number": "970-335-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E 3RD ST UNIT 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015759",
"telephone_number": "970-764-1790",
"fax_number": "970-375-7927"
}
],
"practiceLocations": [
{
"address_1": "1970 E 3rd Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813015049",
"country_code": "US",
"telephone_number": "970-335-2288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYRES",
"first_name": "KIMBERLY",
"middle_name": "RENEE",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "860735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "UNDERHILL",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.