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KIMBERLY REIKO MIYAMOTO RD NPI 1861048456


NPI Information

NPI: 1861048456
Provider Name: KIMBERLY REIKO MIYAMOTO, RD
Classification: Dietitian, Registered - 133VN1005X
Entity Type: Individual

Specialization: Nutrition, Renal

Address:
24533 CADIZ DR
LOMITA, CA
ZIP 90717
Phone: (310) 749-7687
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Kimberly Reiko Miyamoto, RD is a nutrition and renal dietitian registered in Lomita, CA with 13 years of experience. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. Kimberly Reiko Miyamoto, RD NPI is 1861048456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24533 CADIZ DR
LOMITA, CA
ZIP 90717-156
Phone: (310) 749-7687

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medical nutrition therapy, assessment and intervention, each 15 minutes (HCPCS:97802)
  • Medical nutrition therapy re-assessment and intervention, each 15 minutes (HCPCS:97803)

The enumeration date for this NPI number is 8/10/2019 and was last updated on 8/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1005XDietitian, RegisteredNutrition, RenalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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