Active NPI
Kimberly Lynn Bond, RD, LMNT, LD, CNSC
- Registered Dietitian
- Red Oak, IA
National Provider Identifier
1871861799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01583
- Practice address
- 1969 Evergreen Ave
Red Oak, IA 51566-4464 - Phone
- (712) 326-5722
- NPI assigned
- Dec 6, 2011
- Last updated
- Dec 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01583 | IA | Primary |
| Registered Dietitian | 133V00000X | 601 | NE |
Addresses
Primary practice location
1969 Evergreen Ave
Red Oak, IA 51566-4464
Mailing address
1969 Evergreen Ave
Red Oak, IA 51566-4464
Phone (712) 326-5722
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01583 | Other | IA | LICENSED DIETITIAN |
| 601 | Other | NE | MEDICAL NUTRITION THERAPIST |
| 898982 | Other | IA | REGISTERED DIETITIAN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01583 | IA | MD | Registered Dietitian |
| 601 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | 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": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1871861799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1969 EVERGREEN AVE",
"city": "RED OAK",
"state": "IA",
"postal_code": "515664464",
"telephone_number": "712-326-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 EVERGREEN AVE",
"city": "RED OAK",
"state": "IA",
"postal_code": "515664464",
"telephone_number": "712-326-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"credential": "RD, LMNT, LD, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01583",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "601",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "01583",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL NUTRITION THERAPIST",
"identifier": "601",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "898982",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.