Individual provider Active NPI

Rosemary Kirk Kenyon, RD, LDN

  • Registered Dietitian
  • Brentwood, TN
National Provider Identifier
1710007240
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN0000001196 Issued in TN
Practice address
5105 W Concord Rd
Rosemarykenyon@Comcast.Net
Brentwood, TN 37027-6517
Phone
(615) 319-8638
Fax
(615) 671-9053
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN0000001196 TN Primary
Nutritionist 133N00000X LDN0000001196 TN
Nutrition Education Nutritionist 133NN1002X LDN0000001196 TN

Addresses

Primary practice location

5105 W Concord Rd
Rosemarykenyon@Comcast.Net
Brentwood, TN 37027-6517

Mailing address

5105 W Concord Rd
Rosemarykenyon@Comcast.Net
Brentwood, TN 37027-6517
Phone (615) 319-8638

Other identifiers 1

IdentifierTypeStateIssuer
982MedicaidTN

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

State licenses

LicenseStateTypeSpecialty
LDN0000001196TNMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1710007240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 W CONCORD RD",
            "address_2": "ROSEMARYKENYON@COMCAST.NET",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276517",
            "telephone_number": "615-319-8638",
            "fax_number": "615-671-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 W CONCORD RD",
            "address_2": "ROSEMARYKENYON@COMCAST.NET",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276517",
            "telephone_number": "615-319-8638",
            "fax_number": "615-671-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "ROSEMARY",
        "middle_name": "KIRK",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000001196",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TN",
            "license": "LDN0000001196",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TN",
            "license": "LDN0000001196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "982",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.