MRS. ELIZABETH ANN KENYON (NPI# 1871889865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871889865 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ANN KENYON |
| Credential | RD |
| Practice Address |
505 S Burg St Kimball NE 69145-1313 |
| Mailing Address |
140720 Experiment Farm Rd Mitchell NE 69357-3704 |
| Practice Telephone | 3082351951 |
| Practice Fax Number | 3082351954 |
| Mailing Telephone | 3086318710 |
| Mailing Fax Number | 3086350264 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 95 | NE | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881700318 | Elizabeth A Kenyon | Physician Assistant | 1555 Long Pond Rd, Emergency Observation Unit, Rochester, NY 14626-4122 | 2006-08-21 |
| Street Address |
505 S BURG ST |
| City | KIMBALL |
| State | NE |
| Zip Code | 69145-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720067556 | Gayle L Perkins | Physician Assistant | 505 S Burg St, Kimball, NE 69145 | 2006-01-11 |
| 1528699113 | Poudre Valley Medical Group, LLC | Internal Medicine | 505 S Burg St, Kimball, NE 69145-1313 | 2020-02-01 |
| 1578038063 | Kirk Alan Evertson | Physical Therapist | 505 S Burg St, Kimball, NE 69145-1313 | 2018-10-10 |
| 1629575345 | Jaimie C Dirks | Nurse Practitioner | 505 S Burg St, Kimball, NE 69145-1313 | 2018-04-09 |
| 1588893317 | Holly Faye Dobrinski | Nurse Practitioner | 505 S Burg St, Kimball, NE 69145-1313 | 2009-07-14 |
| 1386846525 | Lisa M Smith-schohl | Physician Assistant | 505 S Burg St, Kimball, NE 69145 | 2007-06-01 |
| 1942380431 | Trevor Wright Bush | Family Medicine | 505 S Burg St, Kimball, NE 69145-1313 | 2006-10-17 |
| 1235237975 | James Floid Broomfield | Family Medicine | 505 S Burg St, Kimball, NE 69145-1313 | 2006-09-20 |
| 1184728537 | William Joseph Wyatt | Plastic Surgery | 505 S Burg St, Kimball, NE 69145-1313 | 2006-09-07 |
| 1669447223 | Kimball County Hospital | General Acute Care Hospital | 505 S Burg St, Kimball, NE 69145-1313 | 2006-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164843504 | Christine Ellen Douglas | Dietitian, Registered | 505 S. Burg Street, Kimball Health Services At, Kimball, NE 69145 | 2014-01-03 |
| 1720004674 | Bemis Drug LLC | Durable Medical Equipment & Medical Supplies | 129 S. Chestnut Street, Kimball, NE 69145 | 2006-07-14 |
| 1295169050 | Jordan A Autrey | Pharmacist | 129 S. Chestnut Street, Kimball, NE 69145 | 2013-08-29 |
| 1891246914 | Highpoint Family Medicine LLC | Family Medicine | 111 E 2nd St, Kimball, NE 69145-1208 | 2016-10-24 |
| 1639413941 | Highpoint Spine and Joint Center, P.C. | Chiropractor | 111 E 2nd St, Kimball, NE 69145-1208 | 2012-11-27 |
| 1669709879 | Ryan Michael Behrend | Chiropractor | 111 E 2nd St, Kimball, NE 69145-1208 | 2009-11-09 |
| 1417339821 | Panhandle Mental Health Center | Community/Behavioral Health | 414 W 2nd St, Kimball, NE 69145-1247 | 2015-06-22 |
| 1245440528 | Kimball Family Dentistry P.C. | Dentist | 416 W 2nd St, Kimball, NE 69145-1247 | 2007-05-23 |
| 1780932897 | Adrian Lee Fuss | Dentist | 416 W 2nd St, Kimball, NE 69145-1247 | 2012-08-21 |
| 1932238714 | Walker Pharmacy Inc | Pharmacy | 129 S Chestnut St, Kimball, NE 69145-1256 | 2007-03-05 |
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| 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 |
|---|---|---|---|---|
| 1164843504 | Christine Ellen Douglas | Dietitian, Registered | 505 S. Burg Street, Kimball Health Services At, Kimball, NE 69145 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033245 | Janet Sue Buck | Dietitian, Registered | 4105 Y St, Lincoln, NE 68503-2160 | 2020-11-05 |
| 1538772330 | Kristen Jensen | Dietitian, Registered | 164 Arbor Ct, Omaha, NE 68108-1725 | 2020-08-31 |
| 1316558760 | Jennifer Baier | Dietitian, Registered | 8310 F St, Omaha, NE 68127-1735 | 2020-08-10 |
| 1154948248 | Katie Beller | Dietitian, Registered | 47023 115 Ave, Leigh, NE 68643-5002 | 2020-07-06 |
| 1669098166 | Marina Danielle Channer | Dietitian, Registered | 3159 43rd Ave, Columbus, NE 68601-4421 | 2020-06-19 |
| 1962041681 | Brenda L Johnson | Dietitian, Registered | 12383 S 78th St, Papillion, NE 68046-4765 | 2019-12-28 |
| 1881231058 | Stephanie Sue Nielsen | Dietitian, Registered | 1905 S 123rd Ave, Omaha, NE 68144-2769 | 2019-12-05 |
| 1760031371 | Teri Grace Lee | Dietitian, Registered | 807 Cody Cir, Papillion, NE 68046-3747 | 2019-09-06 |
| 1326607060 | Elizabeth Baker | Dietitian, Registered | 3128 Puritan Ave, Lincoln, NE 68502-4230 | 2019-06-06 |
| 1629632864 | Susan Marie Mclaughlin | Dietitian, Registered | 7905 Pacific St, Omaha, NE 68114-5347 | 2019-04-23 |
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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.