Provider Demographics
NPI:1164065629
Name:GREENBERG, KRISTINA ERIN (RD, CSR)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:ERIN
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:RD, CSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CIRCLE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:ZION CROSSROADS
Mailing Address - State:VA
Mailing Address - Zip Code:22942-6935
Mailing Address - Country:US
Mailing Address - Phone:434-924-9009
Mailing Address - Fax:434-924-9256
Practice Address - Street 1:75 CIRCLE POINTE DR
Practice Address - Street 2:
Practice Address - City:ZION CROSSROADS
Practice Address - State:VA
Practice Address - Zip Code:22942-6935
Practice Address - Country:US
Practice Address - Phone:434-924-9009
Practice Address - Fax:434-924-9256
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal