Active NPI
Kimberly Kaye Swanson, MBA, RDN, CD
- Registered Dietitian
- Madison, WI
National Provider Identifier
1740789502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11429
- Practice address
- 34 Schroeder CT Ste 230
Madison, WI 53711-2528 - Phone
- (608) 347-7794
- NPI assigned
- Feb 7, 2018
- 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 | 11429 | WI | Primary |
Addresses
Primary practice location
34 Schroeder CT Ste 230
Madison, WI 53711-2528
Mailing address
337 Racine Rd
Madison, WI 53705-4762
Phone (608) 347-6115
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11429 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1740789502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 RACINE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537054762",
"telephone_number": "608-347-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SCHROEDER CT STE 230",
"city": "MADISON",
"state": "WI",
"postal_code": "537112528",
"telephone_number": "608-347-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "KIMBERLY",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"credential": "MBA, RDN, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "11429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.