KIMBERLY MARIE CHAPMAN, RDN — NPI 1467080580 (Licensed & Credentialed Dietary & Nutritional Service Providers

CMS-1500 Box 24J / 33a • NPI

1467080580

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133V00000X (CMS 71)

Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered

Box 32 Service Location & ZIP+4

312 PINE RIDGE PT, PETAL, MS, 39465-4241

✓ 9-Digit EDI 837 ZIP+4 (39465-4241)

Practice Phone & Referral Fax

(601) 248-1687

Fax: (888) 820-5115

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467080580 (KIMBERLY MARIE CHAPMAN, RDN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467080580` (NPI-1 Individual Practitioner)
Provider / Legal Name	KIMBERLY MARIE CHAPMAN, RDN
Plain-English Specialty	Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered NUCC Code: `133V00000X` (Dietitian, Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	312 PINE RIDGE PT, PETAL, MS, 39465-4241
Practice Telephone / Fax	Tel: (601) 248-1687 \| Fax: (888) 820-5115
Administrative Mailing Address	312 PINE RIDGE PT, PETAL, MS, 39465-4241
Enumeration & Last Sync	Enumerated: 2020-04-01 \| CMS Record Updated: 2020-04-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

312 PINE RIDGE PT, PETAL, MS, 39465-4241

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Plain-English Taxonomy & CMS Crosswalk (133V00000X)

What Does Taxonomy Code 133V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133V00000X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 71 (Registered Dietitian or Nutrition Professional)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dietitian, Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KIMBERLY MARIE CHAPMAN, RDN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: N/A \| License: `807390` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: WI \| License: `3100-29` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: WV \| License: `877` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: PA \| License: `DN004869` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: TN \| License: `LDN0000001995` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: DC \| License: `DII00000537` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: SC \| License: `663` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: OK \| License: `2081` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: ID \| License: `D-1067` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: NM \| License: `LD-1282` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: AL \| License: `1557` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: LA \| License: `2080` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: KS \| License: `1778` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: KY \| License: `123431` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: MS \| License: `D0958` \| Primary: Yes (Primary)

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KIMBERLY MARIE CHAPMAN, RDN (NPI #1467080580)