Organization Active NPI

Kim Rose Dietitian, LLC

  • Registered Dietitian
  • Sebring, FL
National Provider Identifier
1750896114
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KIM ROSE DIETITIAN, LLC
Practice address
4208 Viscaya St
Sebring, FL 33872-2122
Phone
(863) 451-2300
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Kimberley Rose-FrancisNPI 1003187592
Title
Sole Manager/Owner
Phone
(863) 451-2300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4208 Viscaya St
Sebring, FL 33872-2122

Mailing address

4208 Viscaya St
Sebring, FL 33872-2122

Other names 1

  • Kimberley Rose-Francis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617004006 FL Part B Supplier - Clinic/Group Practice 3375054281 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

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": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1750896114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 VISCAYA ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 VISCAYA ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722122",
            "telephone_number": "863-451-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ROSE DIETITIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "ROSE-FRANCIS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "SOLE MANAGER/OWNER",
        "authorized_official_telephone_number": "863-451-2300"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberley Rose-Francis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.