Organization Active NPI

Diane Kingsley, LLC

  • Registered Dietitian
  • Vero Beach, FL
National Provider Identifier
1730609231
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DIANE KINGSLEY, LLC
Practice address
333 17TH St Ste N
Vero Beach, FL 32960-5686
Phone
(772) 228-6778
Fax
(772) 800-1050
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Diane Kingsley, RD LDNNPI 1609133230
Title
Ceo
Phone
(772) 538-2960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

333 17TH St Ste N
Vero Beach, FL 32960-5686

Mailing address

333 17TH St Ste N
Vero Beach, FL 32960-5686
Phone (772) 538-2960

Other names 1

  • Simple Health Options Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250626002100 FL Part B Supplier - Clinic/Group Practice 1052823796 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

333 17th St
Ste U
Vero Beach, FL 32960
Phone (855) 282-4333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1730609231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 17TH ST STE N",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605686",
            "telephone_number": "772-538-2960",
            "fax_number": "772-800-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 17TH ST STE N",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605686",
            "telephone_number": "772-228-6778",
            "fax_number": "772-800-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE KINGSLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-538-2960",
        "authorized_official_credential": "RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Health Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.