Kimberly D Addison, RD
Individual provider Active NPI Registered Dietitian · Cullman, AL
NPI 1912995457 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912995457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 621278 (AL)
- Practice address
- 1792 Al Highway 157
Cullman, AL 35058-3622 - Phone
- (256) 737-2025
- Fax
- (256) 737-2829
- NPI assigned
- Oct 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cullman Internal Medicine, PC
Practice addresses (Care Compare)
1890 Al Hwy 157
Cullman, AL 35058-0689
Phone (256) 737-2100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220728000268 | AL | Practitioner - Registered Dietitian Or Nutrition Professional | 7416980974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621278 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Internal Medicine, PC | Current |
Accepting new patients | |
| Diabetes Care Center | Past | Accepting new patients | |
| Cullman Regional Medical Center, Inc | Past | Accepting new patients | |
| Cullman Regional Medical Center Inc | Past | Accepting new patients |
Locations
1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496
1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000
1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 621278 | AL | Yes |
Addresses
Primary practice location
1792 Al Highway 157
Cullman, AL 35058-3622
Mailing address
1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2882
Other providers in Cullman, AL
- Ali Anderson Adams
- Danielle Adams
- Joel C Adams
- Rex Clyne Adams
- Rex McKinley Adams
- Mark K Addison
- Samantha Adkins
- Susan S Adkison
- Advantage Family Care Inc
- Affordable Dentures & Implants - Alabama, LLC
All providers in Cullman, AL · Registered Dietitian in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.