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Deactivated NPI 1841868619 Deactivated / Inactive NPI Female Practitioner

Kimberley Rothbauer , NTP

Nutritionist • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimberley Rothbauer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2021
NPI Deactivation Date July 25, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Kimberley Rothbauer, NTP was a registered Nutritionist practicing in Austin, TX. Throughout an active medical career spanning 1 years, Kimberley Rothbauer provided care at the practice location at 2520 BLUEBONNET LN UNIT 5 until profile deactivation on 2022-07-25.

Practice Location & Contact Primary Location

Practice Address

2520 Bluebonnet Ln Unit 5

Austin, TX 787044854

Telephone 8323356504
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nutritionist in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Austin, TX (255 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nutritionist Primary Specialty

NUCC Taxonomy Code: 133N00000X

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 25, 2022

Record deactivated on July 25, 2022

NPI Profile Active June 16, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2021

Registered at 2520 BLUEBONNET LN UNIT 5, AUSTIN, TX 787044854 (Tel: 8323356504)

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Updated Business Mailing Address June 16, 2021

Registered at 9901 BRODIE LANE, SUITE 160 #683, AUSTIN, TX 787484854 (Tel: 5127666243)

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Provider Name / Credentials Updated June 16, 2021

Recorded as KIMBERLEY ROTHBAUER, NTP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2021

Nutritionist

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Initial NPI Registration & Enumeration June 16, 2021

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: 1841868619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2021
Last Update: June 16, 2021
Deactivation Date: July 25, 2022

Mailing Address

9901 Brodie Lane, Suite 160 #683

Austin, TX 787484854

Phone: 5127666243

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.