Active NPI
Kimberly Sue Hyatt, RD, LDN
- Registered Dietitian
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3169
- Practice address
- 219 S Washington St
Easton, MD 21601-2913 - Phone
- (410) 822-1000
- Fax
- (410) 819-0989
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 | DX3169 | MD | Primary |
Addresses
Primary practice location
219 S Washington St
Easton, MD 21601-2913
Mailing address
219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21635 Biden Ave
Georgetown, DE 19947-4574
Phone (302) 260-7360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX3169 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Physician Network, Inc. | Current | Accepting new patients | |
| Beebe Physician Network Inc. | Current | Accepting new patients | |
| State of Delaware-Stockley | Current | Accepting new patients |
Locations
21635 Biden Ave
Unit 205
Georgetown, DE 19947
21635 Biden Ave
Unit 203
Georgetown, DE 19947
Phone (302) 260-7360
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
8472 Herring Run Rd
Seaford, DE 19973
Phone (302) 297-2510
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Beebe Medical Group
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- Family Medicine Physician
- Seaford, DE
- NPI 1467534636
-
- Intellectual Disabilities Intermediate Care Facility
- Georgetown, DE
- NPI 1962557561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1740562503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 S WASHINGTON ST",
"city": "EASTON",
"state": "MD",
"postal_code": "216012913",
"telephone_number": "410-822-1000",
"fax_number": "410-819-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S WASHINGTON ST",
"city": "EASTON",
"state": "MD",
"postal_code": "216012913",
"telephone_number": "410-822-1000",
"fax_number": "410-819-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX3169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.