Organization Active NPI

Kindred Nutrition LLC

  • Registered Dietitian
  • Palm Beach Gardens, FL
National Provider Identifier
1861156689
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KINDRED NUTRITION LLC
Practice address
130 Pembroke Dr
Palm Beach Gardens, FL 33418-4611
Phone
(201) 693-5358
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Lea M Rifkin, MS, RD, LDN, RYTNPI 1346104023
Title
Ceo
Phone
(201) 693-5358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

130 Pembroke Dr
Palm Beach Gardens, FL 33418-4611

Mailing address

130 Pembroke Dr
Palm Beach Gardens, FL 33418-4611
Phone (201) 693-5358

Other names 1

  • Kindred Nutrition Co. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1861156689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PEMBROKE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184611",
            "telephone_number": "201-693-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PEMBROKE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184611",
            "telephone_number": "201-693-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "RIFKIN",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-693-5358",
        "authorized_official_credential": "MS, RD, LDN, RYT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Nutrition Co.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.