Kirsten Marie Dyck, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

4003 Creekside Loop
Yakima, WA 98908-3962

Phone

(509) 248-3263

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kirsten Marie Larsen Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment NPD
• Reedley Community Hospital

  • Rural Health Clinic/Center
  • Earlimart, CA
  • NPI 1821699620
  NPD
• Reedley Community Hospital

  • Rural Health Clinic/Center
  • Madera, CA
  • NPI 1720459514
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1043775851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S 41ST ST APT 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 CREEKSIDE LOOP",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083962",
            "telephone_number": "509-248-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCK",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "LARSEN",
            "middle_name": "MARIE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Malissa Dyanne Durbin, LMHC
• Julie Durnan, CCC-SLP
• Rachel Durraui
• Devon Duval-Driscoll
• Andrea Dyck, RN
• E.N.T.-Facial Plastic Surgery Associates, PLLC.
• Natasha Mary Eacrett
• James Kendall Eakin, ARNP, PMHNP-BC
• Ear Nose and Throat Associates PS
• Joanne Earl, M.S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.