Mrs Kimberly Marie Chapman, RDN is a
Dietitian, Registered based in Petal, Mississippi. Mrs Kimberly Marie Chapman is licensed to practice in Mississippi (license number D0958) and her current practice location is
312 Pine Ridge Pt, Petal, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 248-1687.
NPI number for Mrs Kimberly Marie Chapman is 1467080580 and her current mailing address is 312 Pine Ridge Pt, Petal, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467080580.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Marie Chapman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 312 Pine Ridge Pt, Petal, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467080580
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 04/01/2020
Medical Identifiers
Medical identifiers for Mrs Kimberly Marie Chapman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467080580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 807390 (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 3100-29 (Wisconsin) | Secondary |
133V00000X | Dietitian, Registered | 877 (West Virginia) | Secondary |
133V00000X | Dietitian, Registered | DN004869 (Pennsylvania) | Secondary |
133V00000X | Dietitian, Registered | LDN0000001995 (Tennessee) | Secondary |
133V00000X | Dietitian, Registered | DII00000537 (District Of Columbia) | Secondary |
133V00000X | Dietitian, Registered | 663 (South Carolina) | Secondary |
133V00000X | Dietitian, Registered | 2081 (Oklahoma) | Secondary |
133V00000X | Dietitian, Registered | D-1067 (Idaho) | Secondary |
133V00000X | Dietitian, Registered | LD-1282 (New Mexico) | Secondary |
133V00000X | Dietitian, Registered | 1557 (Alabama) | Secondary |
133V00000X | Dietitian, Registered | 2080 (Louisiana) | Secondary |
133V00000X | Dietitian, Registered | 1778 (Kansas) | Secondary |
133V00000X | Dietitian, Registered | 123431 (Kentucky) | Secondary |
133V00000X | Dietitian, Registered | D0958 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Marie Chapman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kimberly Marie Chapman, RDN 312 Pine Ridge Pt, Petal, MS 39465-4241 Ph: (601) 248-1687 | Mrs Kimberly Marie Chapman, RDN 312 Pine Ridge Pt, Petal, MS 39465-4241 Ph: (601) 248-1687 |
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