Active NPI
Kiwell Nutrition Consulting, LLC
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1760149827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KIWELL NUTRITION CONSULTING, LLC
- Practice address
- 1721 N Philip St Apt a
Philadelphia, PA 19122-3160 - Phone
- (641) 990-8910
- NPI assigned
- Nov 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Raffety Kennett, RD
- Title
- Owner, Dietitian
- Phone
- (641) 990-8910
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1721 N Philip St Apt a
Philadelphia, PA 19122-3160
Mailing address
1721 N Philip St Apt a
Philadelphia, PA 19122-3160
Phone (641) 990-8910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/25429/brand/1/csg/1/fhir/r4
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": "1637625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637625600000",
"number": "1760149827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 N PHILIP ST APT A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191223160",
"telephone_number": "641-990-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 N PHILIP ST APT A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191223160",
"telephone_number": "641-990-8910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIWELL NUTRITION CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A",
"authorized_official_last_name": "KENNETT",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "RAFFETY",
"authorized_official_title_or_position": "OWNER, DIETITIAN",
"authorized_official_telephone_number": "641-990-8910",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.