Active NPI
Kimberly Williams, MS, RD
- Registered Dietitian
- Colorado Springs, CO
National Provider Identifier
1790501211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01033354
- Practice address
- 419 S Cedar St
Colorado Springs, CO 80903-5715 - Phone
- (928) 925-6772
- NPI assigned
- Nov 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01033354 | CO | Primary |
Addresses
Primary practice location
419 S Cedar St
Colorado Springs, CO 80903-5715
Mailing address
419 S Cedar St
Colorado Springs, CO 80903-5715
Phone (928) 925-6772
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01033354 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1790501211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 S CEDAR ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809035715",
"telephone_number": "928-925-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 S CEDAR ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809035715",
"telephone_number": "928-925-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KIMBERLY",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-30",
"last_updated": "2024-11-30",
"certification_date": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "01033354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.