Active NPI
Kylie Jane Viens, MS, RDN, LD
- Registered Dietitian
- Wasilla, AK
National Provider Identifier
1841721164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 114934
- Practice address
- 1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083 - Phone
- (907) 631-7612
- NPI assigned
- Mar 27, 2017
- Last updated
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 114934 | AK | Primary |
Addresses
Primary practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Mailing address
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone (907) 631-7464
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114934 | AK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1841721164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S KNIK GOOSE BAY RD",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548083",
"telephone_number": "907-631-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KNIK GOOSE BAY RD",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548083",
"telephone_number": "907-631-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIENS",
"first_name": "KYLIE",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "114934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.