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DR. KIMBERLY ROSS DCN, CNS, CDN, LDN
NPI 1881116853
Dietitian, Registered in Bradenton, FL

Active since July 12, 2017
1201 6TH AVE W, BRADENTON, FL 34205(941) 234-4541(941) 213-5822 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2025, Jul 14, 2024, Jul 4, 2024 and 1 more (4 updates tracked since 2017).

About Dr. Kimberly Ross Dcn, Cns, Cdn, Ldn NPPES

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

DR. KIMBERLY ROSS DCN, CNS, CDN, LDN (NPI 1881116853) is an individual dietitian, registered in Bradenton, Florida, licensed in Florida (ND9114) and active in the NPI registry since July 2017. She maintains 2 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881116853
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDR. KIMBERLY ROSSCredential: DCN, CNS, CDN, LDN
Location Address1201 6TH AVE WBradenton, FL 34205-7400
Mailing Address7026 Date Palm LnEllenton, FL 34222-4316 · (941) 234-4541 · Fax (941) 213-5822
Phone(941) 234-4541
Fax(941) 213-5822
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 12, 2017
Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1881116853 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 FL · ND9114
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 ListedNutritionistTaxonomy 133N00000X · License LD.10482 (OH), DX6749 (MD), ND9114 (FL), 164.008863 (IL), 008524 (NY)
1201 6TH AVE W, Bradenton, FL 34205
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Secondary Practice Locations 2

Location 117409 Detroit AveLakewood, OH 44107-3427 · Phone (877) 510-5562
Location 22111 Genesee StUtica, NY 13501-5942 · Phone (877) 510-5562

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Ross Dcn, Cns, Cdn, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204366057
PECOS Enrollment IDI20250903000377

Frequently Asked Questions

What is Kimberly Ross's NPI number?

The NPI number assigned to this healthcare provider is 1881116853, enumerated as an "individual" on July 12, 2017.

Where is the provider located?

The provider is located at 1201 6TH AVE W BRADENTON, FL 34205 and the phone number is (941) 234-4541.

What is the provider's specialty?

Dietitian, Registered with taxonomy code 133V00000X.