Active NPI
Janae Kinikin, RDN
- Registered Dietitian
- Douglas, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86101171
- Practice address
- 111 S 5TH St
Douglas, WY 82633-2434 - Phone
- (307) 358-2122
- Fax
- (307) 316-0426
- NPI assigned
- Jul 30, 2019
- Last updated
- Jun 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86101171 | NU | Primary |
| Health Educator | 174H00000X | NU | ||
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
111 S 5TH St
Douglas, WY 82633-2434
Mailing address
539 N Wind River Dr
Douglas, WY 82633-2027
Phone (385) 244-9573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Salt Lake Nutricoaching LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
700 E Center St
Douglas, WY 82633
Phone (307) 358-7300
Organizations & group practices 5
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.
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
-
- Registered Dietitian
- Riverdale, UT
- NPI 1700480803
-
dba Blanding Family Practice Community Health Center
- Family Medicine Physician
- Blanding, UT
- NPI 1457489486
-
- Land Ambulance
- Montezuma Creek, UT
- NPI 1598198434
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1881248698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 N WIND RIVER DR",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332027",
"telephone_number": "385-244-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 5TH ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332434",
"telephone_number": "307-358-2122",
"fax_number": "307-316-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINIKIN",
"first_name": "JANAE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": "86101171",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.