Kymber Janelle Stephenson, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86173235 Issued in CO

Practice address

8120 Sheridan Blvd.
Building C, Suite C-315
Westminister, CO 80003

Phone

(708) 717-7394

NPI assigned

Jun 30, 2020

Last updated

Jun 30, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1922625581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 S VERBENA ST APT 318",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371538",
            "telephone_number": "678-522-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 SHERIDAN BLVD.",
            "address_2": "BUILDING C, SUITE C-315",
            "city": "WESTMINISTER",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "708-717-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KYMBER",
        "middle_name": "JANELLE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86173235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@sidebysidenutrition.com",
            "affiliation": "N",
            "endpointDescription": "practice email/Kalix",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8120 Sheridan Blvd.",
            "address_2": "Building C, Suite C-315",
            "city": "Westminister",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Westminister, CO
• Providers in Westminister, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.