Active NPI
Keith Pearson II, MS, RD
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1669846515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2583
- Practice address
- 700 19TH St S
Birmingham, AL 35233-1927 - Phone
- (205) 933-8101
- NPI assigned
- Nov 16, 2015
- Sex
- Male
- 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 | 2583 | AL | Primary |
Addresses
Primary practice location
700 19TH St S
Birmingham, AL 35233-1927
Mailing address
123 Hickory KNL
Birmingham, AL 35226-3253
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1669846515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 HICKORY KNL",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352263253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331927",
"telephone_number": "205-933-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "KEITH",
"name_suffix": "II",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-16",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.