Individual provider Active NPI

Deanna M Kinslow, CHES, RDN, LDN

  • Registered Dietitian
  • Bay Minette, AL
National Provider Identifier
1710493200
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86026499 Issued in AL
Practice address
8351 Delta Woods Dr
Bay Minette, AL 36507-8121
Phone
(423) 443-8594
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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 86026499 AL Primary

Addresses

Primary practice location

8351 Delta Woods Dr
Bay Minette, AL 36507-8121

Mailing address

8351 Delta Woods Dr
Bay Minette, AL 36507-8121
Phone (423) 443-8594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210909000915 AL Practitioner - Registered Dietitian Or Nutrition Professional 3173929692 Reassigns benefits to 2 organizations
I20231219004135 MS Practitioner - Registered Dietitian Or Nutrition Professional 3173929692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86026499ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Dec 30, 2024 Accepting new patients
Alabama Providence Healthcare Services Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jun 29, 2021 Accepting new patients

Locations

6701 Airport Blvd
Ste D436
Mobile, AL 36608
Phone (251) 266-1987

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

6304 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1710493200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 DELTA WOODS DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365078121",
            "telephone_number": "423-443-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 DELTA WOODS DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365078121",
            "telephone_number": "423-443-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLOW",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "CHES, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "86026499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.