Kimberly Emmick, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001781 Issued in WA

Practice address

14573 Beaver Marsh Rd
Mount Vernon, WA 98273-9774

Phone

(564) 260-7466

NPI assigned

Mar 11, 2015

Reactivated

Dec 10, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kimberly Emmick RDN, CD

  • Health Service Clinic/Center
  • Rosburg, WA
  • NPI 1083069090
  NPD (past) Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1235522574",
    "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": "564-260-7466"
        },
        {
            "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": "564-260-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMICK",
        "first_name": "KIMBERLY",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "deactivation_date": "2023-11-14",
        "reactivation_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emde Chiropractic PS
• Deborah Emde, LMP
• John W. Emde, D.C.
• Curran James Emeruwa, MD
• Lynette Marie Emery, MD
• Alyssa Marie Enghauser, PA-C
• Shea Bradley English, SUDPT
• Cheryl Ensing, LAC
• John W Erbstoeszer, MD
• Notie Andrea Iyen Erhahon, M.D

• 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 Jan 30, 2026; 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.