Kristen Nickels, M.S., R.D.N., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2015020186 Issued in MO

Practice address

1330 E Cherry St Ste 210
Springfield, MO 65802-3638

Phone

(417) 766-0663

NPI assigned

Dec 15, 2015

Last updated

Feb 27, 2019By 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

Other names 1

• Kristen Marshall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: kristen.marshall.p1@direct.jordanvalley.nextgenshare.com

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1942665104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E CHERRY ST STE 106",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023573",
            "telephone_number": "417-766-0663",
            "fax_number": "417-765-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E CHERRY ST STE 210",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023638",
            "telephone_number": "417-766-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "KRISTEN",
        "credential": "M.S., R.D.N., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2015020186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MARSHALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Vincent Nicholes, DO
• Carolyn J. Nichols, LPC
• Courtney T Nichols, MS, LPC
• Marla Nichols, CRNA
• Kendra Nicholson
• McKenzie N Nickerson, MS, LPC
• Julia Mary Nickle, MS, LPC, LMHC
• Lynda Kaye Nickle, LCSW
• Mark David Nicolas
• Megan Elizabeth Nicolas, MD

• Registered Dietitian in Springfield, MO
• Providers in Springfield, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.