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KIMBERLEY ANN BLOOD RD, CDE
NPI 1396915666
Dietitian, Registered in Fairbanks, AK

Active since March 03, 2008
1717 WEST COWLES STREET, FAIRBANKS, AK 99701(907) 451-6682(907) 451-3912 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberley Ann Blood Rd, Cde NPPES

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

KIMBERLEY ANN BLOOD RD, CDE (NPI 1396915666) is an individual dietitian, registered in Fairbanks, Alaska, licensed in (967624) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1396915666
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIMBERLEY ANN BLOODCredential: RD, CDE
Location Address1717 WEST COWLES STREETFairbanks, AK 99701
Mailing Address1717 W. Cowles StreetFairbanks, AK 99701 · (907) 451-6682 · Fax (907) 451-3912
Phone(907) 451-6682
Fax(907) 451-3912
Sole ProprietorNo
Enumeration DateMarch 3, 2008
Last NPPES UpdateNovember 15, 2012
✔ NPI 1396915666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 967624
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.
1717 WEST COWLES STREET, Fairbanks, AK 99701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberley Ann Blood Rd, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Southeast Alaska Regional Health Consortium
448 mi
Clinic/Center
712 OCEAN CAPE ROAD
Yakutat, AK 99689
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group
NPI 1033323605 (907) 784-3275

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 3

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

MICHAEL J ROYLANCE PA-C
Physician Assistant
1717 WEST COWLES STREET
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 378-1997
MR. DALE WELSH PA-C
Psychiatry & Neurology (Brain Injury Medicine)
1717 WEST COWLES STREET
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
DR. ROSEANN MARIE DAMERON DDS
Dentist (Dental Public Health)
1717 WEST COWLES STREET
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251

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 Kimberley Blood's NPI number?

The NPI number for Kimberley Blood is 1396915666. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Kimberley Blood located?

Kimberley Blood practices at 1717 West Cowles Street, Fairbanks, AK 99701. The listed phone number is (907) 451-6682.

What is Kimberley Blood's specialty?

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

Is Kimberley Blood enrolled in Medicare?

Yes. Kimberley Blood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberley Blood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Blood reassigns Medicare benefits to Southeast Alaska Regional Health Consortium (Yakutat, AK). 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 Kimberley Blood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberley Blood accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kimberley Blood 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 Kimberley Blood was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.