NPI 1295274199 · live from the CMS NPI Registry
Kimberly A Beavers, MS, RDN, LD, CDE
Dietitian, Registered in Augusta, GA. National Provider Identifier 1295274199, active.
NPI record
| NPI | 1295274199 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3154 Perimeter Pkwy, Suite 2, Augusta, GA 30909 |
| Practice phone | 706-922-8283 |
| Mailing address | 918 River Oak Dr, North Augusta, SC 29841 |
| Enumerated | February 13, 2017 |
| Last updated | February 14, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 1299 (SC) |
| Dietitian, Registered primary | 133V00000X | LD001544 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.