Active NPI
Kristin Ross, RD
- Registered Dietitian
- Flint, MI
National Provider Identifier
1992000475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 995922
- Practice address
- G3200 Beecher Rd
Diabetes Education
Flint, MI 48532-3651 - Phone
- (810) 342-4110
- Fax
- (810) 342-4428
- NPI assigned
- Jan 14, 2011
- 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 | 995922 | MI | Primary |
Addresses
Primary practice location
G3200 Beecher Rd
Diabetes Education
Flint, MI 48532-3651
Mailing address
G3200 Beecher Rd
Diabetes Education
Flint, MI 48532-3651
Phone (810) 342-4110
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 995922 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1992000475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G3200 BEECHER RD",
"address_2": "DIABETES EDUCATION",
"city": "FLINT",
"state": "MI",
"postal_code": "485323651",
"telephone_number": "810-342-4110",
"fax_number": "810-342-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3200 BEECHER RD",
"address_2": "DIABETES EDUCATION",
"city": "FLINT",
"state": "MI",
"postal_code": "485323651",
"telephone_number": "810-342-4110",
"fax_number": "810-342-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KRISTIN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "995922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.