MRS. KIMBERLY JO SLACK RD, LDN
NPI 1609122076
Dietitian, Registered in York, PA

Q: What is Kimberly Slack's NPI number?

The NPI number for Kimberly Slack is 1609122076. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Q: What is Kimberly Slack'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 Slack was last updated on August 3, 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.

Active since August 03, 2012

1500 MEMORY LANE EXT, YORK, PA 17402(717) 757-5433 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kimberly Jo Slack Rd, Ldn NPPES

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

MRS. KIMBERLY JO SLACK RD, LDN (NPI 1609122076) is an individual dietitian, registered in York, Pennsylvania, licensed in Pennsylvania (DN004222) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1609122076

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. KIMBERLY JO SLACKCredential: RD, LDN

Location Address1500 MEMORY LANE EXTYork, PA 17402-9601

Mailing Address1500 Memory Lane ExtYork, PA 17402-9601 · (717) 757-5433

Phone(717) 757-5433

Sole ProprietorNo

Enumeration DateAugust 3, 2012

✔ NPI 1609122076 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 PA · DN004222

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.

1500 MEMORY LANE EXT, York, PA 17402

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Other Providers at the Same Location NPPES 18

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

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