Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. KIMBERLY M OTTER
Active
Individual
MRS. KIMBERLY M OTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2004029302
MO
133V00000X
Registered Dietitian
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000009329891
PRIVATE HEALTHCARE SYSTEM
IL
01
—
00132009
BLUE CROSS BLUE SHIELD
IL
01
—
075113
QUINCY HEALTH CARE MGMT.
IL
Enumeration date
08/12/2005
Last updated
07/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up