Libby Shapiro Kimmett, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

D160581120 Issued in WA

Practice address

21309 44TH Ave W
Mountlake Terrace, WA 98043

Phone

(425) 744-1095

Fax

(425) 775-1144

NPI assigned

Mar 6, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1487289856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 44TH AVE W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "98043",
            "telephone_number": "425-744-1095",
            "fax_number": "425-775-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 44TH AVE W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "98043",
            "telephone_number": "425-744-1095",
            "fax_number": "425-775-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMETT",
        "first_name": "LIBBY",
        "middle_name": "SHAPIRO",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "WA",
            "license": "D160581120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kikalu PLLC
• Jennifer Kim
• Linda Kim, LD
• Sukho Kim, LICENSED DENTURIST
• Erin Kimber, PTA
• Alexa Klaudt
• Rachel Elizabeth Knappert, RN
• Chris Kocher, COTA/L
• Olena Kondratets, LMP
• Grace Adeline Koontz, LMHC

• Renal Nutrition Registered Dietitian in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Renal Nutrition Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.