Kristine Ann Van Workum, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 5470 Issued in FL

Practice address

1223 Gateway Dr Ste 2B
Melbourne, FL 32901-2607

Phone

(321) 725-4500

Fax

(321) 727-0975

NPI assigned

Aug 21, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kristine Van Workum, Rd, LDN, Inc.

  • Registered Dietitian
  • Indialantic, FL
  • NPI 1952623324

  Dietitian, Registered

  NPD (past) Authorized official
• Corinne Zimmer, PSYD LLC

  • Clinical Psychologist
  • Indialantic, FL
  • NPI 1205235454
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1689780181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 2B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-725-4500",
            "fax_number": "321-727-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 N Wickham Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402240",
            "country_code": "US",
            "telephone_number": "321-434-9230",
            "fax_number": "321-434-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN WORKUM",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 5470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "IK418Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Van Kempen
• Emily Carol Van Meter, APRN
• Nicole Sayson Van Mir
• Alexis C Van Pelt
• Rebekah Ann Van Someren, NP
• Melinda Van-Nguyen
• Linh T Van
• Jamie Lynne Vanauker, APRN
• Christopher N. Vanbuskirk, P.T.A.
• Jesselyn Mishelle Vance, CAA

• Registered Dietitian in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.