Kimberly Hall, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

61107593 Issued in WA

Practice address

1001 Colorossi Cir NW
Orting, WA 98360-7000

Phone

(269) 491-3464

NPI assigned

Jun 15, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Case Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1003484106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COLOROSSI CIR NW",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "983607000",
            "telephone_number": "269-491-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLOROSSI CIR NW",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "983607000",
            "telephone_number": "269-491-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KIMBERLY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "61107593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CASE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meagen M. Gore
• Lori Gosney
• Theodora S. Graves
• Alexandra Elisabeth Graziani
• Elvia Rocio Guzman
• Elizabeth N Hancock, LMP
• Bradley Ross Harvie, MSPT
• Healthy Lifestyle Family Chiropractic PC Corporation (Orting Chiropractic Family Wellness Center)
• Jada Helgeson, C.O.T.A./L
• Adele Hoxie, LPN

• Registered Dietitian in Orting, WA
• Providers in Orting, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.