KRISTI CAROL KVIST


Address: 2960 Tongass Ave, Ketchikan, AK 99901-5742
Phone: 9072284900

KRISTI CAROL KVIST (NPI# 1558695627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558695627
Entity Type Individual
Full Name KRISTI CAROL KVIST
Credential R.D.
Practice Address 2960 Tongass Ave
Ketchikan
AK 99901-5742
Practice Telephone 9072284900
Practice Fax Number 8008523264
Mailing Telephone 9072284900
Mailing Fax Number 8008523264
Enumeration Date 2009-09-23
Last Update Date 2017-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 2211-029 WI Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK 1633783 05

Office Location

Street Address 2960 TONGASS AVE
City KETCHIKAN
State AK
Zip Code 99901-5742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154315109 Kathryn Lynn Price Family Medicine 2960 Tongass Ave, Ketchikan, AK 99901-5742 2005-09-06
1427668300 Morgan Wayne Holmes Dentist 2960 Tongass Ave, Ketchikan, AK 99901-5742 2020-08-05
1073177424 Maxx Ritchie Keizer Pharmacist 2960 Tongass Ave, Ketchikan, AK 99901-5742 2019-04-30
1043763824 Ying Kwok Dentist 2960 Tongass Ave, Ketchikan, AK 99901-5742 2016-07-28
1780036491 Andrea A. Lui Family Medicine 2960 Tongass Ave, Ketchikan, AK 99901-5742 2016-07-06
1912370347 Pamela Lee Rogers Nurse Practitioner 2960 Tongass Ave, Ketchikan, AK 99901-5742 2015-11-06
1356745723 Megan Hanifin Counselor 2960 Tongass Ave, Ketchikan, AK 99901-5742 2014-10-14
1396153649 Ketchikan Indian Corporation Clinic/Center 2960 Tongass Ave, Ketchikan, AK 99901-5742 2014-07-31
1427460997 Gerry Balluta Case Manager/Care Coordinator 2960 Tongass Ave, Ketchikan, AK 99901-5742 2014-06-02
1447670393 Kristin Santroch Dentist 2960 Tongass Ave, Ketchikan, AK 99901 2014-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314215 Residential Youth Care, Inc. Community/Behavioral Health 2442 Tongass Avenue, Ketchikan, AK 99901 2020-07-23
1316563026 Residential Youth Care, Inc. Community/Behavioral Health 606 Hill Road, Ketchikan, AK 99901 2020-06-18
1043836851 Residential Youth Care, Inc. Community/Behavioral Health 2514 1st Avenue, Ketchikan, AK 99901 2020-06-18
1215553029 Residential Youth Care, Inc. Community/Behavioral Health 2951 Baranof Avenue, Ketchikan, AK 99901 2020-06-18
1174159222 Helene Rae Simpson Behavior Technician 201 Deermont St, Ketchikan, AK 99901 2020-03-20
1003295155 Suzanne Webb Massage Therapist 602 Dock St Ste 106, Ketchikan, AK 99901 2015-05-22
1093194342 Kate Mortensen Case Manager/Care Coordinator 2690 Tongass Ave, Ketchikan, AK 99901 2015-05-20
1578879631 Thomas Peter Ryan Social Worker 320 Bawden St. #318, Ketchikan, AK 99901 2010-08-27
1689820979 Akeela Inc Community Based Residential Treatment Facility, Mental Illness 3050 Fifth Ave, Ketchikan, AK 99901 2008-08-18
1750565438 Susan Marie Swift Nurse Practitioner 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 2007-12-18
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326506866 Balance and Nourish Dietitian, Registered 25 Jefferson Way Ste 101b, Ketchikan, AK 99901-5953 2019-03-04
1730658493 Emily Nicole Henry Dietitian, Registered 97 Eichner Ave, Ketchikan, AK 99901-9033 2018-11-24
1932108347 Janai Marie Meyer Dietitian, Registered 130 Carlanna Lake Rd Lowr, Ketchikan, AK 99901-5611 2005-07-18
1194091041 Martin D Smith Dietitian, Registered 2960 Tongass Ave, Ketchikan, AK 99901-5742 2012-03-26
1992874002 Rebecca E Shern Dietitian, Registered 3100 Tongass Ave, Ketchikan, AK 99901-5746 2006-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124631759 Britta Amber Brecheen Dietitian, Registered 3403 Lois Dr, Anchorage, AK 99517-2000 2020-08-24
1518579473 Soleil Thiele Dietitian, Registered 2210 N Broadway Dr, Palmer, AK 99645-9316 2020-08-20
1619593449 Audrey Conrad Dietitian, Registered 16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 2020-06-17
1952934895 Lea Palmer Dietitian, Registered 22835 Glacier View Dr, Eagle River, AK 99577-9560 2020-02-19
1457919227 Janne Holmberg Maier Dietitian, Registered 250 Cushman St Ste 3h, Fairbanks, AK 99701-4665 2019-06-05
1396217261 Angela Marie Colburn Dietitian, Registered 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 2018-12-17
1063997096 Sabrina Kay Cabana Dietitian, Registered 7900 Evander Dr, Anchorage, AK 99518-3107 2018-09-25
1700381134 Kimberly Leinani Wilcox Dietitian, Registered 621 W Dimond Blvd, Anchorage, AK 99515-1704 2018-03-27
1366950842 Haley Hughes Dietitian, Registered 3240 Providence Drive, Suite A453, Anchorage, AK 99508 2018-01-18
1457867830 Ashley Lynn Funk Dietitian, Registered 6043 E 22nd Ave, Anchorage, AK 99504-3211 2017-12-20
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Competitor

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City KETCHIKAN
Zip Code 99901

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Dataset Information

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.

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