Kira Ann Hennes Blum, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

093926 Issued in IA

Practice address

930 Evashevski Dr.
Jacobson Building
Iowa City, IA 52242

Phone

(319) 325-4079

NPI assigned

Oct 25, 2019

Last updated

Oct 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1891338539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "OXFORD",
            "state": "IA",
            "postal_code": "523220179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 EVASHEVSKI DR.",
            "address_2": "JACOBSON BUILDING",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-325-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 10th St SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524031292",
            "country_code": "US",
            "telephone_number": "319-398-6127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "KIRA",
        "middle_name": "ANN HENNES",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "093926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonathan Michael Bluemke, LMSW
• James Marlow Blum, MD
• Nancee S Blum, LISW
• Nicole Margaret Blum, MS
• Elizabeth Anne Boal, MS, MA, TLMFT
• Dennis Lee Boatman, MD
• Jeremy Arthur Bobera, DDS

• Registered Dietitian in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.