Active NPI
Kelly Keyes Zweifel, DIETITIAN
- Registered Dietitian
- Nome, AK
National Provider Identifier
1811030844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 165
- Practice address
- 1000 Greg Krucheck Ave
Nome, AK 99762-0966 - Phone
- (907) 443-3480
- Fax
- (907) 443-3723
- NPI assigned
- Feb 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 165 | AK | Primary |
Addresses
Primary practice location
1000 Greg Krucheck Ave
Nome, AK 99762-0966
Mailing address
1000 Greg Kruschek Ave
Nome, AK 99762-0966
Phone (907) 443-3480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165 | Other | AK | STATE OF ALASKA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165 | AK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Petersburg Medical Center | Current | Accepting new patients | |
| Norton Sound Health Corporation | Dietitian, Registered | Past | Accepting new patients |
| Norton Sound Health Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Petersburg, AK
- NPI 1437122843
-
- Transportation Broker
- Nome, AK
- NPI 1821447079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1811030844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GREG KRUSCHEK AVE",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GREG KRUCHECK AVE",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3480",
"fax_number": "907-443-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWEIFEL",
"first_name": "KELLY",
"middle_name": "KEYES",
"credential": "DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ALASKA",
"identifier": "165",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.