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KIMBERLY JO CALLOW RDN, IBCLC
NPI 1770201931
Dietitian, Registered in Queen Creek, AZ

Active since August 15, 2022
3203 W GOLDMINE MOUNTAIN CV, QUEEN CREEK, AZ 85144(480) 232-0246 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, Jun 24, 2024, Aug 15, 2022 (3 updates tracked since 2022).

About Kimberly Jo Callow Rdn, Ibclc NPPES

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

KIMBERLY JO CALLOW RDN, IBCLC (NPI 1770201931) is an individual dietitian, registered in Queen Creek, Arizona, licensed in Arizona (86115695) and active in the NPI registry since August 2022. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1770201931
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIMBERLY JO CALLOWCredential: RDN, IBCLC
Location Address3203 W GOLDMINE MOUNTAIN CVQueen Creek, AZ 85144-3063
Mailing Address3203 W Goldmine Mountain CvQueen Creek, AZ 85144-3063 · (480) 232-0246
Phone(480) 232-0246
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 15, 2022
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1770201931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AZ · 86115695
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.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-163757 (AZ)
3203 W GOLDMINE MOUNTAIN CV, Queen Creek, AZ 85144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Jo Callow Rdn, Ibclc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294270575
PECOS Enrollment IDI20240710004876

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 Callow's NPI number?

The NPI number for Kimberly Callow is 1770201931. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Kimberly Callow located?

Kimberly Callow practices at 3203 W Goldmine Mountain Cv, Queen Creek, AZ 85144. The listed phone number is (480) 232-0246.

What is Kimberly Callow's specialty?

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

Is Kimberly Callow enrolled in Medicare?

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

What insurance does Kimberly Callow accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Kimberly Callow 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 Callow was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.