Kimberly Stewart, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004099 Issued in PA

Practice address

2907 Pleasant Valley Blvd
Altoona, PA 16602-4305

Phone

(814) 943-8164

NPI assigned

Sep 17, 2021

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1831869122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CAMPGROUND RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159313903",
            "telephone_number": "814-242-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024305",
            "telephone_number": "814-943-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIMBERLY",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE DEPT BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
            "identifier": "D004099N",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "979614",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SecureMessaging",
            "affiliation": "N",
            "address_1": "2907 Pleasant Valley Blvd",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166024305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Elaine Stern, CRNP
• Steven Hand Ma LLC
• Steven Hand, Ma, LLC
• Amber Stevens
• Courtney Stewart
• Miranda Stiffler
• Susan Dawn Stiffler, M.ED., C.R.C.
• Ian David Stiles, BS
• Sharon Irene Stiver, CRNP
• Stefanie Stolzenberg, MASSAGE THERAPIST

• Registered Dietitian in Altoona, PA
• Providers in Altoona, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.