KIMBERLY ANN JUDY
NPI 1912540725
Dietitian, Registered in Keyser, WV

Q: What is Kimberly Judy's NPI number?

The NPI number for Kimberly Judy is 1912540725. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Q: What is Kimberly Judy'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 Judy was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 24, 2019

100 PIN OAK LN, KEYSER, WV 26726(304) 597-3500 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Ann Judy NPPES

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

KIMBERLY ANN JUDY (NPI 1912540725) is an individual dietitian, registered in Keyser, West Virginia, licensed in West Virginia (1258) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1912540725

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKIMBERLY ANN JUDY

Location Address100 PIN OAK LNKeyser, WV 26726-5908

Mailing AddressPo Box 1326Keyser, WV 26726-1326

Phone(304) 597-3500

Sole ProprietorYes

Enumeration DateOctober 24, 2019

✔ NPI 1912540725 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 WV · 1258

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.

100 PIN OAK LN, Keyser, WV 26726

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Ann Judy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Potomac Valley Hospital Of W VA , Inc

Same address

Critical Access

100 PIN OAK LN
Keyser, WV 26726

Reassigned Medicare billing, West Virginia enrollment
Also billed through NPI 1316054919 (West Virginia)
158 clinicians in this Medicare group

NPI 1912979873 (304) 597-3525

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 20

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

SAGAR SAI CHENNUPATI PA-C

Physician Assistant