Kind Body LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KIND BODY LLC

Practice address

2012 Cherry Hill Dr Ste 202B
Columbia, MO 65203-5882

Phone

(573) 615-4656

NPI assigned

Jun 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Isabelle Bouchard, MS, RDNPI 1811471477

Title

Part Owner

Phone

(573) 615-4656

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isabelle M Bouchard, RDN

  • Registered Dietitian
  • Kansas City, MO
  • NPI 1811471477
  NPD Authorized official

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1932778974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR STE 202B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-615-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR STE 202B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-615-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "573-615-4656",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kindbodycollaborative.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2012 Cherry Hill Dr Ste 202B",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652035882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jieon Jenny Kim
• Jong-in Kim, PHARMD
• Anne Kimberling, RDN, LD
• Kimberly Mountain Kimchi, PH.D.
• Janet Kimmons, R.D.
• Carroll J. King, M.D., J.D.
• Dana M King III, M.D.
• Gerry Ann King, CRADC
• Kathryn Anne King, PHD, RPH
• Lauren Marie King, COTA/L

• Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.