Individual provider Active NPI

Kyleigh Kirbach, RDN

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1891154175
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024025878 Issued in MO
Practice address
7329 Balson Ave
Saint Louis, MO 63130-2902
Phone
(217) 502-2784
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2014030567 MO
Internal Medicine Physician 207R00000X 2024025878 MO Primary

Addresses

Primary practice location

7329 Balson Ave
Saint Louis, MO 63130-2902

Mailing address

7329 Balson Ave
Saint Louis, MO 63130-2902
Phone (217) 502-2784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930001559 MO Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Preventive Medicine 9830620087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014030567MOMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1891154175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 BALSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631302902",
            "telephone_number": "217-502-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 BALSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631302902",
            "telephone_number": "217-502-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBACH",
        "first_name": "KYLEIGH",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2014030567",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2024025878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.