Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly Ross, DCN, CNS, CDN, LDN

Individual provider Nutritionist · NPI 1881116853

Dr. Kimberly Ross, DCN, CNS, CDN, LDN is a Registered Dietitian OR Nutrition Professional in Bradenton, Florida. Qualified in 2021, 5 years ago. Works from 3 locations. Licensed in Florida, Illinois, Maryland and New York and 1 more.

Years since qualifying
5
Licensed in
FL, IL, MD, NY, OH
In the registry since
2017
Specialties on file
6
What do these letters mean?
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

1201 6th Ave W
Bradenton, FL 34205-7400
Phone: (941) 234-4541
Fax: (941) 213-5822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2111 Genesee St, Utica, NY 13501-5942 — (877) 510-5562
  • 17409 Detroit Ave, Lakewood, OH 44107-3427 — (877) 510-5562

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND9114 (FL)
Nutritionist Taxonomy 133N00000X · Licence LD.10482 (OH)
Nutritionist Taxonomy 133N00000X · Licence DX6749 (MD)
Nutritionist Taxonomy 133N00000X · Licence ND9114 (FL)
Nutritionist Taxonomy 133N00000X · Licence 164.008863 (IL)
Nutritionist Taxonomy 133N00000X · Licence 008524 (NY)

Record details

NPI number1881116853
Entity typeIndividual (Type 1)
GenderFemale
Credentials DCN , CNS , CDN , LDN
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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