Individual provider Active NPI

Kristin Sessums, MS, RD, LD

  • Registered Dietitian
  • Gulfport, MS
National Provider Identifier
1770826380
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D1295 Issued in MS
Practice address
1110 Broad Ave
Suite 500
Gulfport, MS 39501-8907
Phone
(228) 243-0880
Fax
(228) 284-1635
NPI assigned
Apr 2, 2013
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D1295 MS Primary

Addresses

Primary practice location

1110 Broad Ave
Suite 500
Gulfport, MS 39501-8907

Mailing address

3322 W End Ave
11TH Floor
Nashville, TN 37203-1031
Phone (615) 515-9880

Other names 1

  • Mrs. Kristin Sessums Professional name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D1295MSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcare Solutions PC Past Accepting new patients
Dca Mississippi LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1770826380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 W END AVE",
            "address_2": "11TH FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031031",
            "telephone_number": "615-515-9880",
            "fax_number": "615-515-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BROAD AVE",
            "address_2": "SUITE 500",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018907",
            "telephone_number": "228-243-0880",
            "fax_number": "228-284-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSUMS",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SESSUMS",
            "prefix": "MRS.",
            "credential": "MS,RD,LC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.