MRS. KATHRYN KIMBALL (NPI# 1225457146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225457146 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN KIMBALL |
| Credential | R.D. |
| Practice Address |
3181 Clearwater Drive, Suite B Prescott AZ 86305-7715 |
| Practice Telephone | 9285151755 |
| Mailing Telephone | 9285151755 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | AZ | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063612653 | Kathryn P Kimball | Counselor | 2161 Union St, Suite #5, San Francisco, CA 94123-4003 | 2007-07-20 |
| Street Address |
3181 CLEARWATER DRIVE, SUITE B |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1326549171 | Kylie Nicole Crowe | Dietitian, Registered | 3120 Rainbow Ridge Dr, Prescott, AZ 86303-5767 | 2018-02-27 |
| 1497859805 | Denise Perry | Dietitian, Registered | 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 | 2006-09-08 |
| 1245348408 | George Mark Coram | Dietitian, Registered | Navahcs 500 N Hwy 89, Prescott, AZ 86313 | 2006-08-28 |
| 1083211320 | Wendy E Nelson | Dietitian, Registered | 1003 Willow Creek Rd, Prescott, AZ 86301-1668 | 2020-10-08 |
| 1740829456 | Jessica Folts | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-27 |
| 1578102570 | Lisa Phillips | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-23 |
| 1275193880 | Jerad Martel Miles | Dietitian, Registered | 500 Az-89, Prescott, AZ 86301 | 2019-06-17 |
| 1295222529 | Jason P Olig | Dietitian, Registered | 500 N State Route 89, Prescott, AZ 86313-5001 | 2018-04-23 |
| 1295192789 | Rebecca Kraxberger | Dietitian, Registered | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-01-28 |
| 1316319064 | Motoko Fanning | Dietitian, Registered | 1003 Willow Creek Rd, Prescott, AZ 86314 | 2015-10-21 |
| Find all providers in PRESCOTT | ||||
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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.