Kimberly R. Jordan
NPI 1609111640ActiveIndividual· Dietitian, Registered· Longmont, CO
Dietitian, Registered with Poudre Valley Medical Group LLC, practicing in Longmont, Colorado. Medicare paid $3,994 for services to 45 patients in 2024.
Overview
| NPI | 1609111640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 3, 2012 |
| Last updated in NPPES | Dec 27, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1020228 | CO |
| Dietitian, Registered | 133V00000X | LD-0824 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 114 across 3 procedure codes |
| Paid by Medicare | $3,994 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
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All 35 registered dietitians in Longmont · All registered dietitians in Colorado