Core Kidney Nutrition Co PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CORE KIDNEY NUTRITION CO PLLC

Practice address

14573 Beaver Marsh Rd
Mount Vernon, WA 98273-9774

Phone

(347) 901-0574

NPI assigned

Sep 26, 2026

Organization subpart

No

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

Authorized official

Name

Kimberly Emmick

Title

Owner/ Authorized Official

Phone

(564) 260-7466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1174436497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14573 BEAVER MARSH RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739774",
            "telephone_number": "347-901-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14573 BEAVER MARSH RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739774",
            "telephone_number": "347-901-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE KIDNEY NUTRITION CO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "EMMICK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "564-260-7466"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.