MRS. KIMBERLY GARRETT WILKERSON (NPI# 1134324619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134324619 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY GARRETT WILKERSON |
Credential | RD, LD, CDE |
Practice Address |
3519 Richmond Dr Fort Collins CO 80526-5995 |
Practice Telephone | 9702040300 |
Practice Fax Number | 9702269041 |
Mailing Telephone | 9702040300 |
Mailing Fax Number | 9702269041 |
Enumeration Date | 2007-06-15 |
Last Update Date | 2014-02-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ADA REGISTERED DIETITIAN | 632685 | 01 | |
TX | TEXAS DIETITIAN LICENSE | DT80452 | 01 |
CO | CERTIFIED DIABETES EDUCATOR | 187347 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437680907 | Kimberly Shawn Wilkerson | Nurse Practitioner | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2017-03-25 |
1558728170 | Kimberly F Wilkerson | Occupational Therapist | 4164 Halls Mill Rd, Mobile, AL 36693-5614 | 2016-01-27 |
1053654996 | Kimberly Ann Wilkerson | Pharmacist | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2013-03-28 |
1023343944 | Kimberly Wilkerson | Speech-Language Pathologist | 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684-5808 | 2009-10-09 |
Street Address |
3519 RICHMOND DR |
City | FORT COLLINS |
State | CO |
Zip Code | 80526-5995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811995459 | Amy L Stump | Pharmacist | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2005-07-08 |
1679063069 | Eli Blinn Avery | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2018-05-11 |
1700336773 | Associates In Family Medicine, P.C. | Family Medicine | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-10-13 |
1053761957 | Ross Sheline | Family Medicine | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-06-21 |
1982051199 | Michael James Orris | Physician Assistant | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-05-17 |
1881067403 | Dyan C Thompson | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526 | 2015-11-04 |
1932509890 | Shaunna Christie Ostrom | Social Worker | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2014-08-28 |
1801213079 | Kendra Beeners | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2014-03-25 |
1922429901 | Jacqueline L House | Physician Assistant | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2013-12-18 |
1891055604 | Jennifer L Tanguay | Social Worker | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2012-05-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
Find all providers in zip 80526 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447858840 | Jessica Lee Drost | Dietitian, Registered | 1000 Mirrormere Cir, Fort Collins, CO 80526-1804 | 2020-10-16 |
1306450077 | Mackenzie Kay Burgess | Dietitian, Registered | 2732 Canby Way, Fort Collins, CO 80525-6676 | 2020-09-01 |
1457965030 | Kaitlyn Rae Johnson | Dietitian, Registered | 3950 Celtic Ln, Fort Collins, CO 80524-6482 | 2020-09-01 |
1598373284 | Natalie Claire Kiriakos | Dietitian, Registered | 1729 Palm Dr Apt C, Fort Collins, CO 80526-6978 | 2020-07-19 |
1255954970 | Cameron Todd Herritt | Dietitian, Registered | 700 E Drake Rd Apt Q3, Fort Collins, CO 80525-4623 | 2020-05-28 |
1609404193 | Sergio Armando Torres De Jesus | Dietitian, Registered | 3104 Swallow Bnd, Fort Collins, CO 80525-2739 | 2020-03-30 |
1164059275 | Brooke Elizabeth Floerke | Dietitian, Registered | 5432 Northern Lights Dr, Fort Collins, CO 80528-4433 | 2020-03-26 |
1245861814 | Jericha Jaye Bair | Dietitian, Registered | 2745 Annelise Way, Fort Collins, CO 80525-7635 | 2020-01-31 |
1467082248 | Chelsea Torres | Dietitian, Registered | 6412 Buchanan St, Fort Collins, CO 80525-5815 | 2020-01-22 |
1912546243 | Sarah Kirby Reed | Dietitian, Registered | 3565 Windmill Dr Apt N7, Fort Collins, CO 80526-5915 | 2020-01-03 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80526 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.