Kristin A. McDaniel, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1340 Issued in MS

Practice address

4203 Ridgemont Dr
Belden, MS 38826-9782

Phone

(662) 397-0317

NPI assigned

Mar 4, 2009

Last updated

Oct 8, 2021By the provider in NPPES

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)

Not enrolled

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.

• Mark Devin Shepherd

  • Endocrinology, Diabetes & Metabolism Physician
  • Tupelo, MS
  • NPI 1376559880
  NPD (past)
• North Mississippi Medical Center, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tupelo, MS
  • NPI 1265312391
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1932349818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 RIDGEMONT DR",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269782",
            "telephone_number": "662-397-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 RIDGEMONT DR",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269782",
            "telephone_number": "662-397-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "KRISTIN",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey to Healing Therapies LLC
• Ashli Kovalick, FNP-C
• Kimberly Lynn Lee, DPT
• Magnolia Manor at Tupelo
• Aimee Malone, PT, DPT
• Med-Life Distributions, LLC
• Mississippi Medical Imaging Group, PLLC
• Mathilda Lail Nash, DPT
• Troy Jun Ostrander, D.O.
• Beverly Athen Parks, RMT

• Registered Dietitian in Belden, MS
• Providers in Belden, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.