Active NPI
Kimberly N Yeatman, RD, LD
- Registered Dietitian
- Starkville, MS
National Provider Identifier
1982726915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D0989
- Practice address
- 400 Hospital Rd
Starkville, MS 39759-2163 - Phone
- (662) 615-2668
- Fax
- (662) 615-2671
- NPI assigned
- Apr 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | D0989 | MS | Primary |
Addresses
Primary practice location
400 Hospital Rd
Starkville, MS 39759-2163
Mailing address
1700 Steele Rd
Starkville, MS 39759-9784
Phone (662) 324-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050928001113 | MS | Practitioner - Registered Dietitian Or Nutrition Professional | 9032144043 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982726915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 STEELE RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397599784",
"telephone_number": "662-324-2755",
"fax_number": "662-615-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOSPITAL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592163",
"telephone_number": "662-615-2668",
"fax_number": "662-615-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEATMAN",
"first_name": "KIMBERLY",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D0989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.