Kim Hali Wolf, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

008749 Issued in NY

Practice address

285 E Main St Ste 105
Smithtown, NY 11787-2912

Phone

(631) 509-0390

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJCEAD

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.

• Middle Country Endocrinology, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Smithtown, NY
  • NPI 1295068930
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1801317706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SWALLOW LN",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882220",
            "telephone_number": "631-724-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST STE 105",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872912",
            "telephone_number": "631-509-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KIM",
        "middle_name": "HALI",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Nathaniel Witt, DDS
• Kerry Ann Wittich, DC
• Barbara Katarzyna Wojaczek, P.T.
• Wolf Moon Inc
• Deana M Wolf, LCSW
• Hilda Wolferd
• Nicholas E Wolff, LCSW
• Jeanne M Wolman, LMSW
• Danielle Nicole Wolsiefer, M.ED.
• Anthony Lei-on Wong, M.D.

• Registered Dietitian in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.