Individual provider Active NPI

Kimberly McAuley, RD

  • Registered Dietitian
  • Lawrence, KS
National Provider Identifier
1982337820
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2875 Issued in KS
Practice address
3504 Clinton Pkwy
Lawrence, KS 66047-2145
Phone
(515) 695-3316
Fax
(833) 719-1241
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND10698 FL
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 2875 KS Primary

Addresses

Primary practice location

3504 Clinton Pkwy
Lawrence, KS 66047-2145

Mailing address

3504 Clinton Pkwy
Lawrence, KS 66047-2145
Phone (515) 695-3316

Other names 1

  • Kimberly Gonzalez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115002725 KS Practitioner - Registered Dietitian Or Nutrition Professional 7214465467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians
Hy Vee Health of Kansas, PAGroup PAC ID 2567990534, 5 clinicians

Practice addresses (Care Compare)

1130 W 4TH St
3200 Lawrence Endocrinology
Lawrence, KS 66044-1346
Phone (785) 505-5885

3504 Clinton Pkwy
Lawrence, KS 66047-2145
Phone (515) 695-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND10698FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy Vee Health of Kansas PA CurrentSince Dec 1, 2024 Accepting new patients
Hy Vee Health of Kansas PA Dietitian, Registered CurrentSince Dec 1, 2024 Accepting new patients
Lawrence Physicians LLC CurrentSince Dec 29, 2025 Accepting new patients
Lawrence Physicians LLC CurrentSince Dec 29, 2025 Accepting new patients
Hy-Vee Health PC Dietitian, Registered Past Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

1130 W 4th St
Ste 3200
Lawrence, KS 66044
Phone (785) 505-3205

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

3504 Clinton Pkwy
Lawrence, KS 66047
Phone (785) 832-0044

330 Arkansas St
Ste 300
Lawrence, KS 66044
Phone (785) 505-4950

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1982337820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472145",
            "telephone_number": "515-695-3316",
            "fax_number": "183-371-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472145",
            "telephone_number": "515-695-3316",
            "fax_number": "833-719-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULEY",
        "first_name": "KIMBERLY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND10698",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GONZALEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.