Kimarie A. Segiel, R.D.
Individual provider Active NPI Registered Dietitian · Mt. Pocono, PA
NPI 1780639211 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1780639211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN000059 (PA)
- Practice address
- 126 Market Way
Mt. Pocono, PA 18344-3842 - Phone
- (570) 839-3633
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040709000653 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 6709864416 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660
100 N Academy Ave
Danville, PA 17822
499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161
4004 Birney Ave
Moosic, PA 18507
Phone (570) 344-4711
126 Market Way
Mount Pocono, PA 18344
Phone (570) 839-3633
12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978
125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN000059 | PA | Yes |
Addresses
Primary practice location
126 Market Way
Mt. Pocono, PA 18344-3842
Mailing address
100 N Academy Ave
Danville, PA 17822-4309
Phone (570) 271-6144
Other practice location 1
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksegiel65524@direct.geisinger.edu | Direct |
Other providers in Mt. Pocono, PA
- Nicole Rook
- Tiana Salerno
- Michael Matthew Salvia
- Valerie Renee Sampson
- Peggy Schuele
- Ayesha R Shaikh
- Richard V Simeone
- Jeffrey Slater
- Chyna Laney Smith
- Jessica M Smith
All providers in Mt. Pocono, PA · Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.