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

Kimberley Mae Wilson, RDN

Individual provider Nutritionist · NPI 1104579069

Kimberley Mae Wilson, RDN is a Registered Dietitian OR Nutrition Professional in Virginia Beach, Virginia. Graduated from University of Alabama School of Medicine in 2023, 3 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Trained at
University of Alabama School of Medicine
Licensed in
VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

1933 Haviland Dr
Virginia Beach, VA 23454-6704
Phone: (302) 465-3066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6333 Center Dr Bldg 16, Norfolk, VA 23502-4126 — (757) 252-9500

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86100729 (VA)
Nutritionist Taxonomy 133N00000X · Licence 86100729 (VA)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence 86100729 (VA)

Record details

NPI number1104579069
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedFebruary 1, 2022
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address1933 Haviland Dr, Virginia Beach, VA 23454-6704

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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