Active NPIIndividual providerSole proprietor

Mrs. Kimberly S Williston, RD

Dietitian, Registered in Derry, New Hampshire

NPI Number1801107230
Practice location
40 Gaita Dr, Derry, NH 03038-6024
Fax
603-537-0489
Last updated
June 30, 2010

Kimberly Sue Williston is a Dietitian, Registered based in Derry, NH. Kimberly Sue Williston practices in Derry, NH and has the professional credentials of RD. The NPI Number for Kimberly Sue Williston is 1801107230 and holds a License No. 414 (NH). The current practice location address for Kimberly Sue Williston is 40 Gaita Dr, Derry, NH 03038-6024 and can be reached out via phone at 603-553-1011 and via fax at 603-537-0489.

Provider Profile Details

NPI Number
1801107230
Provider Name
Kimberly Sue Williston
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
40 Gaita Dr, Derry, NH 03038-6024
Phone Number
603-553-1011
Fax Number
603-537-0489
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 30, 2010
Last Update Date
June 30, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Gaita Dr
Derry, NH 03038-6024
City
Derry
Zip
03038-6024
Phone Number
603-553-1011
Fax Number
603-537-0489
Derry, NH 03038Get directions →

Provider Business Mailing Address Details

Address
40 Gaita Dr
Derry, NH 03038-6024
City
Derry
State
NH
Zip
03038-6024
Phone Number
603-553-1011
Fax Number
603-537-0489

License Information

License Number (1)
414
License State (1)
NH
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
2844
License State (2)
MA
Taxonomy (2)
Dietitian, Registered · 133V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kimberly S Williston, RD?

The NPI number of Mrs. Kimberly S Williston, RD is 1801107230. It was assigned on June 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly S Williston, RD?

Mrs. Kimberly S Williston, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NH under license number 414.

Where does Mrs. Kimberly S Williston, RD practice?

The practice location is 40 Gaita Dr, Derry, NH 03038-6024. The office can be reached at 603-553-1011 (phone) or 603-537-0489 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801107230 directly on the NPPES registry website.

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