Kimberly Ann Sabada, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3500 Issued in MA

Practice address

3305 Washington St Unit 401
Jamaica Plain, MA 02130-5322

Phone

(314) 369-3159

Fax

(617) 206-6133

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Revive Nutrition LLC

  • Registered Dietitian
  • Jamaica Plain, MA
  • NPI 1093345969

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1760813786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 WASHINGTON ST UNIT 401",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305322",
            "telephone_number": "314-369-3159",
            "fax_number": "617-206-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 WASHINGTON ST UNIT 401",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305322",
            "telephone_number": "314-369-3159",
            "fax_number": "617-206-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Washington St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024621607",
            "country_code": "US",
            "telephone_number": "617-243-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABADA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MA",
            "license": "3500",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Ruiz, LICSW, PHD
• Carolyn Rundquist, MD
• Taylor Ryan
• Mohammed A Saab, M.D.
• Eman Saadeddin
• Mary Elledge Sabeti, CRNA
• Madeline Sabin
• Kareemah Sabur
• Caren Sachs
• Eve Ellen Sadowsky, PA-C

• Registered Dietitian in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.