Kira Spreenberg-Bronsoms, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86175971 Issued in CA

Practice address

3110 Kerner Blvd
San Rafael, CA 94901-5411

Phone

(510) 944-4012

NPI assigned

Oct 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Novato, CA
  • NPI 1003900101
  NPD (past)

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1881301091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 DEL GANADO RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032309",
            "telephone_number": "510-944-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 KERNER BLVD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015411",
            "telephone_number": "510-944-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPREENBERG-BRONSOMS",
        "first_name": "KIRA",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86175971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Pathology Services of Marin Sonoma Incorporated
• Megan Eileen Spence
• Katharine C Spencer, MFT
• Brooke Spezzano, M.S., MFTI
• Deanna Sprague
• Nicole Springer, AMFT
• Bay Laurel Sproch, MFT
• John R. Spurzem, MD
• Brian Sroka
• John Bosco Ssemmuli Sr.

• Registered Dietitian in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.