Kimberly Emmick RDN, CD

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DI00001781 Issued in WA

Legal business name

KIMBERLY EMMICK RDN, CD

Practice address

129 Eden Valley Rd
Rosburg, WA 98643-9637

Phone

(347) 901-0574

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Emmick, RDN, CDNPI 1235522574

Title

Registered Dietitian Nutritionist

Phone

(347) 901-0574

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Emmick, RDN, LDN

  • Registered Dietitian
  • Mount Vernon, WA
  • NPI 1235522574
  NPD (past) Authorized official

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1083069090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 EDEN VALLEY RD",
            "city": "ROSBURG",
            "state": "WA",
            "postal_code": "986439637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 EDEN VALLEY RD",
            "city": "ROSBURG",
            "state": "WA",
            "postal_code": "986439637",
            "telephone_number": "347-901-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY EMMICK RDN, CD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "EMMICK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "347-901-0574",
        "authorized_official_credential": "RDN, CD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "DI00001781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Wesley Scott, MD

• Health Service Clinic/Center in Rosburg, WA
• Providers in Rosburg, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.