IndividualActive
Kimberly Concra, LDN
NPI 1316789472 · Nutritionist · South Dennis, MA
Provider details
- NPI number
- 1316789472
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 887 (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
902 Route 134
Building 1-4
South Dennis, MA 02660
Phone: (508) 258-5923
Fax: (855) 710-7222
Street-level locationGet directions
Mailing address
11 Sheffield Rd
Brewster, MA 02631-2847
Additional practice locations (1)
- 1170 Main StWest Barnstable, MA 02668-1162Phone: (508) 362-1221Fax: (508) 362-5858
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-06-10
- Certified
- 2024-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.