Kathryn Lyn Ebert Kimbrough, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT81250 Issued in TX

Practice address

2525 Wallingwood Dr Ste 1503
Austin, TX 78746-6923

Phone

(512) 798-3491

NPI assigned

Dec 11, 2013

Last updated

Dec 1, 2021By 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

Other names 1

• Kathryn Lyn Ebert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimbrough Nutrition, LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1316401920

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1689005001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR STE 1503",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466923",
            "telephone_number": "512-636-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR STE 1503",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466923",
            "telephone_number": "512-798-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "KATHRYN",
        "middle_name": "LYN EBERT",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2021-12-01",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "EBERT",
            "middle_name": "LYN",
            "credential": "R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justen Kimble
• Kimbrough Nutrition, LLC
• Anthony Curtis Kimbrough, MD
• Birch Kimbrough, MD
• Candace McWhirter Kimbrough, LPC, LCDC
• Ryan Douglas Kimbrough, MD
• Jonathon R Kimes, DDS
• Patricia J Kimes, DDS
• Grace Whitney Kimmel, MD
• Freda E Kimmey, LPC

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.