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KIMBERLY MICHELLE CONCRA LDN
NPI 1316789472
Nutritionist in South Dennis, MA

Active since June 10, 2024
902 ROUTE 134, BUILDING 1-4, SOUTH DENNIS, MA 02660(508) 258-5923(855) 710-7222 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Michelle Concra Ldn NPPES

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

KIMBERLY MICHELLE CONCRA LDN (NPI 1316789472) is an individual nutritionist in South Dennis, Massachusetts, licensed in Massachusetts (887) and active in the NPI registry since June 2024. She maintains a secondary practice location in West Barnstable.

NPPES Registry Identity

NPI1316789472
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameKIMBERLY MICHELLE CONCRACredential: LDN
Location Address902 ROUTE 134, BUILDING 1-4South Dennis, MA 02660
Mailing Address11 Sheffield RdBrewster, MA 02631-2847 · (508) 237-6616
Phone(508) 258-5923
Fax(855) 710-7222
Sole ProprietorYes
Enumeration DateJune 10, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1316789472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in MA · 887
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License 887 (MA)
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 887 (MA)
902 ROUTE 134, South Dennis, MA 02660
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Secondary Practice Location 1

Location 11170 Main StWest Barnstable, MA 02668-1162 · Phone (508) 362-1221 · Fax (508) 362-5858

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

THRIVE WELLNESS LLC
Physical Therapist
902 ROUTE 134
S DENNIS, MA 02660
Barnstable County (774) 476-0240

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 Concra's NPI number?

The NPI number for Kimberly Concra is 1316789472. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Kimberly Concra located?

Kimberly Concra practices at 902 Route 134 Building 1-4, South Dennis, MA 02660. The listed phone number is (508) 258-5923.

What is Kimberly Concra's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Concra was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.