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

MS. Kimberly R Jordan

Individual provider Registered Dietitian · NPI 1609111640

MS. Kimberly R Jordan is a Registered Dietitian OR Nutrition Professional in Longmont, Colorado. Qualified in 2008, 18 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and New Mexico.

Years since qualifying
18
Licensed in
CO, NM
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1020228 (CO)
Registered Dietitian Taxonomy 133V00000X · Licence LD-0824 (NM)

Record details

NPI number1609111640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESDecember 27, 2016

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Longmont