Active NPI
Kimberly Ann Hunter, RD, LD
- Registered Dietitian
- Athens, GA
National Provider Identifier
1992889646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 178
- Practice address
- 1230 Baxter St
Food and Nutrition Services
Athens, GA 30606-3712 - Phone
- (706) 389-3669
- Fax
- (706) 389-3670
- NPI assigned
- Oct 25, 2006
- 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 | 178 | GA | Primary |
Addresses
Primary practice location
1230 Baxter St
Food and Nutrition Services
Athens, GA 30606-3712
Mailing address
1061 Pleasant Hill Rd
Watkinsville, GA 30677-5902
Phone (770) 725-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71BBBGL | Other | GA | MEDICARE PIN |
Other names 1
- Kimberly Ann Russell
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 |
|---|---|---|---|
| 178 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992889646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 PLEASANT HILL RD",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306775902",
"telephone_number": "770-725-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 BAXTER ST",
"address_2": "FOOD AND NUTRITION SERVICES",
"city": "ATHENS",
"state": "GA",
"postal_code": "306063712",
"telephone_number": "706-389-3669",
"fax_number": "706-389-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "71BBBGL",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "RUSSELL",
"middle_name": "ANN",
"credential": "RD, LD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Athens, GA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.