Kimberly McGill Dove, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L000700 Issued in NC

Practice address

739 Chappell Dr
Raleigh, NC 27606-3215

Phone

(919) 834-5837

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1780149088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12884",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276052884",
            "telephone_number": "919-880-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 CHAPPELL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063215",
            "telephone_number": "919-834-5837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 Everett Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077218",
            "country_code": "US",
            "telephone_number": "919-880-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVE",
        "first_name": "KIMBERLY",
        "middle_name": "MCGILL",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "L000700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Douglass, MCD, CCC-SLP
• Jenna Michelle Douglass, BCBA
• Dove Supportive Services
• Dove Supportive Services, LLC
• Kathryn Miller Dove
• Lorraine Dove, LPN
• Marico Dove, PHARMD
• Christina Ann Dovel, LCSW-A
• Carrie Ann Dow-Smith, M.D.
• James Oliver Dowd, PA-C

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.