Active NPI
Kimberly Parra, RD, RDN
- Registered Dietitian
- Astoria, NY
National Provider Identifier
1932717477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2510 30TH Rd Apt 3O
Astoria, NY 11102-2652 - Phone
- (772) 607-1556
- NPI assigned
- Jul 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2510 30TH Rd Apt 3O
Astoria, NY 11102-2652
Mailing address
2510 30TH Rd Apt 3O
Astoria, NY 11102-2652
Phone (772) 607-1556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86012041 | Other | THE ACADEMY OF NUTRITION AND DIETETICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1932717477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 30TH RD APT 3O",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022652",
"telephone_number": "772-607-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH RD APT 3O",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022652",
"telephone_number": "772-607-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRA",
"first_name": "KIMBERLY",
"credential": "RD, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE ACADEMY OF NUTRITION AND DIETETICS",
"identifier": "86012041",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.