Active NPI
Christina H Kim, MS, RD, CNSC, CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1942596085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 804905
- Practice address
- 1275 York Ave
Food and Nutrition Department
New York, NY 10065 - Phone
- (212) 639-7311
- Fax
- (212) 717-3316
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 003363-1 | NY | |
| Registered Dietitian | 133V00000X | 804905 | NY | Primary |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 2193995 | NY |
Addresses
Primary practice location
1275 York Ave
Food and Nutrition Department
New York, NY 10065
Mailing address
1275 York Ave
Food and Nutrition Department
New York, NY 10065
Phone (212) 639-7311
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003363-1 | NY | MD | Nutritionist |
| 804905 | NY | MD | Registered Dietitian |
| 2193995 | NY | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1942596085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"address_2": "FOOD AND NUTRITION DEPARTMENT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-639-7311",
"fax_number": "212-717-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"address_2": "FOOD AND NUTRITION DEPARTMENT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-639-7311",
"fax_number": "212-717-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTINA",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "MS, RD, CNSC, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "003363-1",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "804905",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "2193995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.