Individual provider Active NPI

Matthew Christopher Kokos, MS, RD, CSOWM, EP-C

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Spokane, WA
National Provider Identifier
1306502133
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
DI61246056 Issued in WA
Practice address
5715 N Bemis St
Spokane, WA 99205-7658
Phone
(919) 699-1672
NPI assigned
Nov 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DI61246056 WA Primary
Registered Dietitian 133V00000X DI61246056 WA
Registered Dietitian 133V00000X LD-D-10260159 OR
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X LD-D-10260159 OR

Addresses

Primary practice location

5715 N Bemis St
Spokane, WA 99205-7658

Mailing address

5715 N Bemis St
Spokane, WA 99205-7658
Phone (509) 652-2881

Other practice location 1

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (509) 652-2881

Other names 1

  • Mr. Matt Kokos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD-D-10260159ORMDRegistered Dietitian
DI61246056WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wholehearted Nutrition and Wellness PLLC Dietitian, Registered CurrentSince Jul 28, 2025 Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1306502133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 N BEMIS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057658",
            "telephone_number": "509-652-2881",
            "fax_number": "509-519-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 N BEMIS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057658",
            "telephone_number": "919-699-1672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "509-652-2881",
            "fax_number": "509-519-9324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKOS",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MS, RD, CSOWM, EP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "WA",
            "license": "DI61246056",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61246056",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10260159",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "OR",
            "license": "LD-D-10260159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "KOKOS",
            "prefix": "MR.",
            "credential": "MS, RD, CSOWM, EP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.