KIMBERLY J WHELAN RD
NPI 1356601017
Dietitian, Registered in San Jose, CA

Active since May 29, 2012
2211 MOORPARK AVE STE 218, SAN JOSE, CA 95128(408) 998-2325 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly J Whelan Rd NPPES

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

KIMBERLY J WHELAN RD (NPI 1356601017) is an individual dietitian, registered in San Jose, California, licensed in California (926569) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1356601017
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIMBERLY J WHELANCredential: RD
Location Address2211 MOORPARK AVE STE 218San Jose, CA 95128-2629
Mailing AddressPo Box 33093Los Gatos, CA 95031 · (831) 818-4462
Sole ProprietorNo
Enumeration DateMay 29, 2012
✔ NPI 1356601017 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 CA · 926569
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.
2211 MOORPARK AVE STE 218, San Jose, CA 95128

Other Identifiers 1

Other926569CA · Registered Dietitian

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly J Whelan Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Whelan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
3724 JEFFERSON ST STE 104
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 487 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Dietitian, Registered (Nutrition, Metabolic)
2211 MOORPARK AVE STE 218
SAN JOSE, CA 95128
Dietitian, Registered (Nutrition, Metabolic)
2211 MOORPARK AVE STE 218
SAN JOSE, CA 95128
Dietitian, Registered
2211 MOORPARK AVE STE 218
SAN JOSE, CA 95128
Dietitian, Registered (Nutrition, Metabolic)
2211 MOORPARK AVE STE 218
SAN JOSE, CA 95128
Dietitian, Registered
2211 MOORPARK AVE STE 218
SAN JOSE, CA 95128

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 Whelan's NPI number?

The NPI number for Kimberly Whelan is 1356601017. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Kimberly Whelan located?

Kimberly Whelan practices at 2211 Moorpark Ave Ste 218, San Jose, CA 95128. The listed phone number is (408) 998-2325.

What is Kimberly Whelan's specialty?

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

Is Kimberly Whelan enrolled in Medicare?

Yes. Kimberly Whelan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Whelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Whelan reassigns Medicare benefits to Nourish, Inc. (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Whelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Whelan accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kimberly Whelan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Whelan was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.