Kimberly Matthews, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1011266 Issued in CA

Practice address

20345 Nashua Rd
Sonora, CA 95370-9046

Phone

(209) 559-1495

NPI assigned

Dec 6, 2010

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

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sonora Community Hospital

  • Radiation Oncology Clinic/Center
  • Sonora, CA
  • NPI 1891732418
  Medicare reassignment NPD
• Sonora Community Hospital

  • Community/Retail Pharmacy
  • Sonora, CA
  • NPI 1740582568
  NPD
• Sonora Community Hospital

  • General Acute Care Hospital
  • Sonora, CA
  • NPI 1780673376
  NPD
• Sonora Community Hospital

  • Family Medicine Physician
  • Groveland, CA
  • NPI 1356332274
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1669775177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20345 NASHUA RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709046",
            "telephone_number": "209-559-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20345 NASHUA RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709046",
            "telephone_number": "209-559-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1011266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinez Vamc
• Marilyn Jean Martino
• Wayne Alan Mathe, DDS
• Elizabeth Mathews
• Frederick R Mathews, D.D.S.,M.S.
• Cara Matyshock
• Christy R Maxson, LMFT
• Matthew Tam Maynard, D.O.
• Meredith R McBride, MD
• Elise Nicole McCarthy, RDH

• Registered Dietitian in Sonora, CA
• Providers in Sonora, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.

Verify at the official NPI Registry.