Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679978696 Individual Practitioner Female Practitioner

Kimi Jo Sycamore

Dietitian, Registered • Provo, UT

Professional Overview & Biography Verified Profile Summary

Kimi Sycamore is a registered healthcare professional specializing in Dietitian, Registered in Provo, UT. Practice services are available at 1055 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Ste 122

Provo, UT 846043305

Telephone 8018125400
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Provo, UT (687 Statewide)

Telehealth Adoption Rate
2.3% 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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License UT 7979843-4901

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Crystal Huffaker , FNP

Nurse Practitioner - Family

NPI 1013162981

Family Nurse Practitioner

Dr. Scott Evans , MD

Orthopaedic Surgery - Hand Surgery

NPI 1033435045

Doctor of Medicine (M.D.)

Dr. Evan Nielsen , MD

Orthopaedic Surgery

NPI 1043527260

Doctor of Medicine (M.D.)

Rosanne Oliver , FNP

Nurse Practitioner - Family

NPI 1073903720

Family Nurse Practitioner

Leslee Adams , NP

Nurse Practitioner - Family

NPI 1083082283

Nurse Practitioner

Dr. Wyatt Boles , DO

Family Medicine

NPI 1083190649

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2014

Registered at 1055 N 500 W, STE 122, PROVO, UT 846043305 (Tel: 8018125400)

📍
Updated Business Mailing Address November 03, 2014

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8018125400)

👤
Provider Name / Credentials Updated November 03, 2014

Recorded as KIMI SYCAMORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2014

Dietitian, Registered (License #7979843-4901 in UT)

🟢
Initial NPI Registration & Enumeration November 03, 2014

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: 1679978696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2014
Last Update: November 03, 2014
Sole Proprietor: No

Mailing Address

1055 N 500 W

Provo, UT 846043305

Phone: 8018125400

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.