Kimberly M Williamson, MSH , RD, LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5342 Issued in FL

Practice address

3100 University Blvd S Ste 220
Jacksonville, FL 32216-2727

Phone

(904) 724-2043

Fax

(904) 724-2013

NPI assigned

Jul 23, 2009

Last updated

Jul 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Medical Nutrition Therapy of Florida, Inc.

  • Registered Dietitian
  • Jacksonville, FL
  • NPI 1871600700

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1730319856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162727",
            "telephone_number": "904-724-2043",
            "fax_number": "904-724-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162727",
            "telephone_number": "904-724-2043",
            "fax_number": "904-724-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "MSH , RD, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Williamson I
• Brittany Lauren Williamson, RMHCI
• Danielle Williamson, M.S., CCC-SLP
• Dariel Tanee Williamson
• Kayden Williamson
• Leanne Christine Williamson, OTRL
• Mackenzie Leigh Williamson, PA-C
• Marissa Williamson
• Megan Carly Williamson, MOT, OTR/L
• Michael Williamson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.