Individual Healthcare Provider
Kimberly Marie Chapman, RDN
Provider's NPPES record last updated: April 1, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1467080580
- Primary Specialty
- Dietitian, Registered
- Practice Location
- Petal, Mississippi
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:18 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dietitian, Registered
Dietary & Nutritional Service Providers
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Taxonomy code 133V00000X
Provider-Reported License Information
- Dietitian, Registered (Mississippi)
- D0958
- Dietitian, Registered
- 807390
- Dietitian, Registered (Wisconsin)
- 3100-29
- Dietitian, Registered (West Virginia)
- 877
- Dietitian, Registered (Pennsylvania)
- DN004869
- Dietitian, Registered (Tennessee)
- LDN0000001995
- Dietitian, Registered (District of Columbia)
- DII00000537
- Dietitian, Registered (South Carolina)
- 663
- Dietitian, Registered (Oklahoma)
- 2081
- Dietitian, Registered (Idaho)
- D-1067
- Dietitian, Registered (New Mexico)
- LD-1282
- Dietitian, Registered (Alabama)
- 1557
- Dietitian, Registered (Louisiana)
- 2080
- Dietitian, Registered (Kansas)
- 1778
- Dietitian, Registered (Kentucky)
- 123431
Practice Locations
Practice Location
312 Pine Ridge PT
Petal, Mississippi 39465-4241
Phone: (601) 248-1687
Record Information
- Enumeration Date
- April 1, 2020
- Provider's NPPES Record Last Updated
- April 1, 2020
- Certification Date
- April 1, 2020
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue