Active NPI
Elizabeth Ann Kenyon, RD
- Registered Dietitian
- Kimball, NE
National Provider Identifier
1871889865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 95
- Practice address
- 505 S Burg St
Kimball, NE 69145-1313 - Phone
- (308) 235-1951
- Fax
- (308) 235-1954
- NPI assigned
- Jun 28, 2011
- Last updated
- Jun 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 95 | NE | Primary |
Addresses
Primary practice location
505 S Burg St
Kimball, NE 69145-1313
Mailing address
140720 Experiment Farm Rd
Mitchell, NE 69357-3704
Phone (308) 631-8710
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1871889865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140720 EXPERIMENT FARM RD",
"city": "MITCHELL",
"state": "NE",
"postal_code": "693573704",
"telephone_number": "308-631-8710",
"fax_number": "308-635-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S BURG ST",
"city": "KIMBALL",
"state": "NE",
"postal_code": "691451313",
"telephone_number": "308-235-1951",
"fax_number": "308-235-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENYON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "95",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kimball, NE
- Adrian Lee Fuss, DDS
- Holli Graf
- Highpoint Family Medicine LLC
- Highpoint Spine and Joint Center, P.C.
- Home Oxygen Service, LLC (Bemis Home Oxygen)
- Kimball County Hospital (Kimball Health Services)
- Kimball County Hospital (Kimball Health Services Clinic)
- Kimball County Hospital (Kimball Health Services)
- Kimball County Manor
- Kimball Family Dentistry P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.