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Active NPI 1881116853 Individual Practitioner Female Practitioner

Kimberly Ross , DCN, CNS, CDN, LDN

Dietitian, Registered • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Ross, DCN, CNS, CDN, LDN is a certified Dietitian, Registered practicing in Bradenton, FL. With approximately 5 years of clinical experience since completing medical education in 2021, Kimberly Ross delivers high-quality medical care to the local community at 1201 6TH AVE W.

Kimberly Ross does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1201 6th Ave W

Bradenton, FL 342057400

Telephone 9412344541
Fax 9412135822
Associated Practice Facility / Clinic
🏢 Kim Ross Consulting Llc Facility NPI 1033956255

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bradenton, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -15.6 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
28 Specialists

Practicing in Bradenton, FL (3492 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ross (5 Years) 5 Yrs
Bradenton Specialty Average (20.6 Years) 20.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License FL ND9114

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.

Nutritionist

NUCC Taxonomy Code: 133N00000X

State License OH LD.10482

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Nutritionist

NUCC Taxonomy Code: 133N00000X

State License MD DX6749

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Nutritionist

NUCC Taxonomy Code: 133N00000X

State License FL ND9114

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Nutritionist

NUCC Taxonomy Code: 133N00000X

State License IL 164.008863

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Nutritionist

NUCC Taxonomy Code: 133N00000X

State License NY 008524

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Secondary Practice Locations

2111 Genesee St

Utica, NY 135015942

Phone: 8775105562

17409 Detroit Ave

Lakewood, OH 441073427

Phone: 8775105562

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 12, 2025

Registered at 1201 6TH AVE W, BRADENTON, FL 342057400 (Tel: 9412344541)

📍
Updated Business Mailing Address March 12, 2025

Registered at 7026 DATE PALM LN, ELLENTON, FL 342224316 (Tel: 9412344541)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2025

Nutritionist (License #LD.10482 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2024

Nutritionist (License #DX6749 in MD)

📍
Updated Practice Location July 04, 2024

Registered at 17520 GAWTHROP DR UNIT 304, LAKEWOOD RANCH, FL 342113918 (Tel: 9412344541)

📍
Updated Business Mailing Address July 04, 2024

Registered at 17520 GAWTHROP DR UNIT 304, LAKEWOOD RANCH, FL 342113918 (Tel: 9412344541)

👤
Provider Name / Credentials Updated July 04, 2024

Recorded as KIMBERLY ROSS, DCN, CNS, CDN, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2024

Nutritionist (License #164.008863 in IL)

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2017

Registered at 2602 GENESEE ST, UTICA, NY 135026003 (Tel: 3157944049)

📍
Updated Business Mailing Address July 12, 2017

Registered at 2602 GENESEE ST, UTICA, NY 135026003 (Tel: 13157944049)

👤
Provider Name / Credentials Updated July 12, 2017

Recorded as KIMBERLY ROSS, CNS, CDN, IFCMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Nutritionist (License #008524 in NY)

🟢
Initial NPI Registration & Enumeration July 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881116853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2017
Last Update: March 12, 2025
Sole Proprietor: No

Mailing Address

7026 Date Palm Ln

Ellenton, FL 342224316

Phone: 9412344541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.