Kimberley Wiemann Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KIMBERLEY WIEMANN NUTRITION LLC

Practice address

12 Mellow LN
Westbury, NY 11590-6325

Phone

(631) 921-2851

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Kimberley Wiemann, RDNPI 1750959300

Title

Registered Dietitian

Phone

(631) 921-2851

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberley Brooke Wiemann, MS, RD, CDN

  • Registered Dietitian
  • Westbury, NY
  • NPI 1750959300

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1710606363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MELLOW LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MELLOW LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906325",
            "telephone_number": "631-921-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLEY WIEMANN NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "WIEMANN",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "631-921-2851",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@kbwnutrition.com",
            "affiliation": "N",
            "address_1": "12 Mellow Ln",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115906325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kidz Educational Services SLP, OT, PT, LMSW, Psychology, Audiology, PL
• Fredrick Kiesecker, DC, CCN
• Stephanie R Killeen, M.D.
• Jae Won Kim, L.AC
• Jung David Kim, RN
• Susan Elizabeth Kimmel, DVM DIPL ACVIM (SAIM
• Rachel King
• Mandy Klarman
• Juliana Isabel Klein
• Nina Kligman

• Registered Dietitian in Westbury, NY
• Providers in Westbury, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.