Cristina Kim, LD, MPH

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD002593 Issued in GA

Practice address

1160 Old Peachtree Rd
Duluth, GA 30097-5125

Phone

(678) 473-7770

Fax

(678) 473-1066

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Andronica Inc

  • Dentist
  • Duluth, GA
  • NPI 1669825998
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962532481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 HUNTCREST WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438150",
            "telephone_number": "678-491-3411",
            "fax_number": "678-473-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 OLD PEACHTREE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975125",
            "telephone_number": "678-473-7770",
            "fax_number": "678-473-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CRISTINA",
        "credential": "LD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kim
• Bona Kim, LCSW
• Byung Yull Kim, D.C.
• Chang Soo Kim, MD
• Choon K. Kim, LDO
• Eunyoung Kim
• Hyun Bok Kim, DDS
• Hyunjung Kim
• Ji a Kim
• Jin Dea Kim, M.D.

• Registered Dietitian in Duluth, GA
• Providers in Duluth, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.