Individual provider Active NPI

Emily Ann Kilham, RD

  • Registered Dietitian
  • Renton, WA
National Provider Identifier
1760019251
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1300 Eagle Ridge Dr S Apt I2059
Renton, WA 98055-3434
Phone
(425) 239-5752
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 Primary

Addresses

Primary practice location

1300 Eagle Ridge Dr S Apt I2059
Renton, WA 98055-3434

Mailing address

1300 Eagle Ridge Dr S Apt I2059
Renton, WA 98055-3434
Phone (425) 239-5752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223003028 WA Practitioner - Registered Dietitian Or Nutrition Professional 8426463522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Nov 19, 2020 Accepting new patients
Emily Program PC CurrentSince Nov 19, 2020 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

673 Woodland Square Loop SE
Ste 330
Olympia, WA 98503
Phone (415) 710-6689

1700 Westlake Ave N
Ste 700
Seattle, WA 98109
Phone (206) 283-2220

2020 E 29th Ave
Ste 200
Spokane, WA 99203
Phone (509) 252-1366

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1760019251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 EAGLE RIDGE DR S APT I2059",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553434",
            "telephone_number": "425-239-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EAGLE RIDGE DR S APT I2059",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553434",
            "telephone_number": "425-239-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILHAM",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.