Individual provider Active NPI

David Janes Kastensmidt, MSH RD LD

  • Registered Dietitian
  • Gainesville, FL
National Provider Identifier
1679533954
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
948426 Issued in FL
Practice address
5009 NW 34TH Street
Gainesville, FL 32605-1150
Phone
(352) 392-4493
Fax
(352) 846-2333
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 948426 FL Primary

Addresses

Primary practice location

5009 NW 34TH Street
Gainesville, FL 32605-1150

Mailing address

5009 NW 34TH St
Gainesville, FL 32605-1150
Phone (352) 392-4493

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
948426FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1679533954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 NW 34TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051150",
            "telephone_number": "352-392-4493",
            "fax_number": "352-846-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 NW 34TH STREET",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051150",
            "telephone_number": "352-392-4493",
            "fax_number": "352-846-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTENSMIDT",
        "first_name": "DAVID",
        "middle_name": "JANES",
        "name_prefix": "Mr.",
        "credential": "MSH RD LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "948426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.