Individual provider Active NPI

Kailey Cunningham, M.S., R.D.N., C.D.

  • Registered Dietitian
  • Lacey, WA
National Provider Identifier
1528439627
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI 60593826 Issued in WA
Practice address
673 Woodland Square Loop SE
Suite 330
Lacey, WA 98503-1066
Phone
(888) 364-5977
Fax
(360) 628-5240
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI 60593826 WA Primary

Addresses

Primary practice location

673 Woodland Square Loop SE
Suite 330
Lacey, WA 98503-1066

Mailing address

673 Woodland Square Loop SE
Suite 330
Lacey, WA 98503-1066
Phone (888) 364-5977

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
DI 60593826WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1528439627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 WOODLAND SQUARE LOOP SE",
            "address_2": "SUITE 330",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031066",
            "telephone_number": "888-364-5977",
            "fax_number": "360-628-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 WOODLAND SQUARE LOOP SE",
            "address_2": "SUITE 330",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031066",
            "telephone_number": "888-364-5977",
            "fax_number": "360-628-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KAILEY",
        "credential": "M.S., R.D.N., C.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60593826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.