IndividualActive
Kimberley Wilson, RDN
NPI 1104579069 · Registered Dietitian · Virginia Beach, VA
Provider details
- NPI number
- 1104579069
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86100729 (VA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1933 Haviland Dr
Virginia Beach, VA 23454-6704
Phone: (302) 465-3066
Street-level locationGet directions
Mailing address
1933 Haviland Dr
Virginia Beach, VA 23454-6704
Additional practice locations (1)
- 6333 Center Dr Bldg 16Norfolk, VA 23502-4126Phone: (757) 252-9500
Registry dates
- Enumerated
- 2022-02-01
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.