Active NPI
Kimberley Morris, RD
- Registered Dietitian
- Bronx, NY
National Provider Identifier
1710506548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86034543
- Practice address
- 2165 Matthews Ave Apt 5B
Bronx, NY 10462-2074 - Phone
- (718) 314-5661
- NPI assigned
- Apr 12, 2020
- Last updated
- Apr 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86034543 | NY | Primary |
Addresses
Primary practice location
2165 Matthews Ave Apt 5B
Bronx, NY 10462-2074
Mailing address
2165 Matthews Ave Apt 5B
Bronx, NY 10462-2074
Phone (718) 314-5661
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86034543 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1586649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586649600000",
"number": "1710506548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 MATTHEWS AVE APT 5B",
"city": "BRONX",
"state": "NY",
"postal_code": "104622074",
"telephone_number": "718-314-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 MATTHEWS AVE APT 5B",
"city": "BRONX",
"state": "NY",
"postal_code": "104622074",
"telephone_number": "718-314-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KIMBERLEY",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-12",
"last_updated": "2020-04-12",
"certification_date": "2020-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86034543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.