Individual provider Active NPI

Kimberly Jeanne Yamanaka, R.D.

  • Registered Dietitian
  • Bellevue, WA
National Provider Identifier
1558650341
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
992771 Issued in WA
Practice address
12501 Bel Red Rd
Ste 210
Bellevue, WA 98005-2509
Phone
(206) 450-7423
Fax
(206) 309-5195
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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 992771 WA Primary

Addresses

Primary practice location

12501 Bel Red Rd
Ste 210
Bellevue, WA 98005-2509

Mailing address

12501 Bel Red Rd
Ste 210
Bellevue, WA 98005-2509
Phone (206) 450-7423

Other names 1

  • Kimberly Jeanne Warfel Former 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

State licenses

LicenseStateTypeSpecialty
992771WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1558650341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 BEL RED RD",
            "address_2": "STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052509",
            "telephone_number": "206-450-7423",
            "fax_number": "206-309-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 BEL RED RD",
            "address_2": "STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052509",
            "telephone_number": "206-450-7423",
            "fax_number": "206-309-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANAKA",
        "first_name": "KIMBERLY",
        "middle_name": "JEANNE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "992771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WARFEL",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.