MS. KIMBERLY KAY KOEVENIG RD, LD/N, CDE
NPI 1063719672
Dietitian, Registered in Daytona Beach, FL

Q: What is Kimberly Koevenig's NPI number?

The NPI number for Kimberly Koevenig is 1063719672. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Q: What is Kimberly Koevenig's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Koevenig was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2011

311 N CLYDE MORRIS BLVD, SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTH, DAYTONA BEACH, FL 32114(386) 258-4829(386) 255-3109 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kimberly Kay Koevenig Rd, Ld/n, Cde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY KAY KOEVENIG RD, LD/N, CDE (NPI 1063719672) is an individual dietitian, registered in Daytona Beach, Florida, licensed in Florida (ND 637) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1063719672

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. KIMBERLY KAY KOEVENIGCredential: RD, LD/N, CDE

Location Address311 N CLYDE MORRIS BLVD, SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTHDaytona Beach, FL 32114-2781

Mailing Address1189 Southfork CtPort Orange, FL 32129-2494 · (386) 506-7841

Phone(386) 258-4829

Fax(386) 255-3109

Sole ProprietorYes

Enumeration DateFebruary 16, 2011

✔ NPI 1063719672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in FL · ND 637

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

311 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. J PATRICK KERR CRNA

Nurse Anesthetist, Certified Registered

311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114

Volusia County (386) 255-1266

DR. BENNETT PETER SCAGLIA M.D.

Urology

311 N CLYDE MORRIS BLVD, SUITE 360
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4199

HALIFAX HEALTHCARE SYSTEMS, INC

Neurological Surgery

311 N CLYDE MORRIS BLVD, SUITE 550
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4000

CLAYTON T SAXOUR CRNA

Nurse Anesthetist, Certified Registered

311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114

Volusia County (386) 255-1266

PATRICIA GONZALEZ

Nurse Anesthetist, Certified Registered

311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4000

BRENDA L. HART FNP-C, CRNP, CWON

Nurse Practitioner (Family)

311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 425-4267

DAVID SCHULTZ DO

Anesthesiology

311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114

Volusia County (386) 255-1266

CATHERINE SEALS CRNA

Nurse Anesthetist, Certified Registered

311 N CLYDE MORRIS BLVD, SUTIE 350
DAYTONA BEACH, FL 32114

Volusia County (386) 255-1266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Koevenig's NPI number?

The NPI number for Kimberly Koevenig is 1063719672. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Where is Kimberly Koevenig located?

Kimberly Koevenig practices at 311 N Clyde Morris Blvd Suite 440-Outpatient Diabetes Education, Halifax Health, Daytona Beach, FL 32114. The listed phone number is (386) 258-4829.

What is Kimberly Koevenig's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Koevenig was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.