Kirstin Nelson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

638 Okoma Dr
Omak, WA 98841-9525

Phone

(509) 826-1550

Fax

(509) 826-1525

NPI assigned

Mar 13, 2015

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Northern Arizona Healthcare Corporation

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1669914552

  AZ

  Medicare reassignment NPD
• Bright Start Services, LLC

  • Pediatric Occupational Therapist
  • Omak, WA
  • NPI 1952603300
  NPD
• Flagstaff Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Flagstaff, AZ
  • NPI 1306205612
  NPD
• Northern Arizona Healthcare Corporation

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1235732702
  NPD
• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078
  NPD (past)

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1417340548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3054",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988413054",
            "telephone_number": "509-826-1550",
            "fax_number": "509-826-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 OKOMA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419525",
            "telephone_number": "509-826-1550",
            "fax_number": "509-826-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIRSTIN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175417",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maura Lee Muzzall-Moore, PAC
• Paul B Myers, MD
• Emil Jonas Navarrete, PHARMD
• Darlene Nealey
• Jason James Neely, LICSW
• Samantha Nelson
• Robert F Nevins
• Nicholas L Newman, MS
• Thomas Tho Ngo, RPH
• Duy Thuong Nguyen, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.