Active NPI
Kimberly B. Vespi, RD
- Registered Dietitian
- East Syracuse, NY
National Provider Identifier
1801668249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00731701
- Practice address
- 6723 Towpath Rd
East Syracuse, NY 13057-9506 - Phone
- (315) 424-1004
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 00731701 | NY | |
| Registered Dietitian | 133V00000X | 00731701 | NY | Primary |
Addresses
Primary practice location
6723 Towpath Rd
East Syracuse, NY 13057-9506
Mailing address
112 Berwick Rd N
Syracuse, NY 13208-3303
Phone (315) 289-3165
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00731701 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1801668249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 BERWICK RD N",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132083303",
"telephone_number": "315-289-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 TOWPATH RD",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579506",
"telephone_number": "315-424-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESPI",
"first_name": "KIMBERLY",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "NY",
"license": "00731701",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "00731701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.