Active NPI
Kimberly Haban Morris, RD
- Registered Dietitian
- Shoreline, WA
National Provider Identifier
1578097705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 60498682
- Practice address
- 19930 Ballinger Way NE
Shoreline, WA 98155-1223 - Phone
- (425) 778-2220
- Fax
- (425) 778-7701
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI 60498682 | WA | Primary |
Addresses
Primary practice location
19930 Ballinger Way NE
Shoreline, WA 98155-1223
Mailing address
2202 S Cedar St Ste 300
Tacoma, WA 98405-2318
Phone (253) 301-5280
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 60498682 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puget Sound Surgical Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Shoreline, WA
- NPI 1699785527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1578097705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 S CEDAR ST STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052318",
"telephone_number": "253-301-5280",
"fax_number": "253-627-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19930 BALLINGER WAY NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551223",
"telephone_number": "425-778-2220",
"fax_number": "425-778-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KIMBERLY",
"middle_name": "HABAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI 60498682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.