Active NPI
Kimber Leigh Baars, RD, CD, MPH
- Registered Dietitian
- Woodruff, WI
National Provider Identifier
1962554931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 612-029
- Practice address
- 240 Maple Street
Woodruff, WI 54848 - Phone
- (715) 356-8086
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 612-029 | WI | Primary |
Addresses
Primary practice location
240 Maple Street
Woodruff, WI 54848
Mailing address
240 Maple Street
PO Box 470
Woodruff, WI 54848
Phone (715) 356-8086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99999999999 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612-029 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962554931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MAPLE STREET",
"address_2": "PO BOX 470",
"city": "WOODRUFF",
"state": "WI",
"postal_code": "54848",
"telephone_number": "715-356-8086",
"fax_number": "715-356-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAPLE STREET",
"city": "WOODRUFF",
"state": "WI",
"postal_code": "54848",
"telephone_number": "715-356-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAARS",
"first_name": "KIMBER",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "RD, CD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "612-029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99999999999",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodruff, WI
- Susan Anderson, APNP
- Anesthesia Services of Northern Wisconsin SC
- Aspirus Medical Group, Inc.
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
- Amanda Jean Bargender, ATC, LAT, OTC
- John Bassette, PT
- Holly L Beede McKinney, APNP
- Robert Birk Jr., PA-C
- Lauren Bisonic, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.