Kimberly Dawn Spreckelmeyer, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000001638 Issued in TN

Practice address

7670 McHenry Cir S
Germantown, TN 38138-2238

Phone

(901) 484-7158

NPI assigned

Jan 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Johnson Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bradley Physician Services, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1710727540
  Medicare reassignment

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1851621270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 MCHENRY CIR S",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382238",
            "telephone_number": "901-484-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 MCHENRY CIR S",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382238",
            "telephone_number": "901-484-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRECKELMEYER",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000001638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JOHNSON",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Specialty Physician Group LLC
• Speech and Hearing Center of the Mid-South
• Gene David Spencer Jr., MD
• SPG II LLC
• Brian Matthew Spiecha, D.C.
• Emily Spriggs, DPT
• Monica Springhart, B.S.N.
• Stephanie Springhart
• Amelia Dodd Spurlin, RDH
• SRS-Memphis, LLC

• Registered Dietitian in Germantown, TN
• Providers in Germantown, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.

Verify at the official NPI Registry.