Individual provider Active NPI

Kristen Garron, RD, CDE, LDN

  • Registered Dietitian
  • Secane, PA
National Provider Identifier
1811144462
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
994257 Issued in PA
Practice address
2505 Franklin Ave
Secane, PA 19018-2826
Phone
(610) 996-9660
NPI assigned
Aug 26, 2008
Last updated
May 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DN003823 PA
Nutrition Education Nutritionist 133NN1002X
Registered Dietitian 133V00000X 994257 PA Primary

Addresses

Primary practice location

2505 Franklin Ave
Secane, PA 19018-2826

Mailing address

2505 Franklin Ave
Secane, PA 19018-2826
Phone (610) 996-9660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000449 PA Practitioner - Registered Dietitian Or Nutrition Professional 1557503042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

249 Green Tree Dr
West Chester, PA 19382-8408
Phone (610) 996-9660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN003823PAMDNutritionist
994257PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Diabetes Education LLC CurrentSince Mar 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1811144462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 FRANKLIN AVE",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190182826",
            "telephone_number": "610-996-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 FRANKLIN AVE",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190182826",
            "telephone_number": "610-996-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRON",
        "first_name": "KRISTEN",
        "credential": "RD, CDE, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN003823",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "994257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secane, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.