Kimberly M Wiedman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1601 E Fourth Plain Blvd
Building 17
Vancouver, WA 98661-3753

Phone

(360) 397-8473

Fax

(360) 397-8110

NPI assigned

Jun 2, 2009

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)

Not enrolled

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1770719916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9825",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986668825",
            "telephone_number": "360-397-8473",
            "fax_number": "360-397-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E FOURTH PLAIN BLVD",
            "address_2": "BUILDING 17",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613753",
            "telephone_number": "360-397-8473",
            "fax_number": "360-397-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDMAN",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Douglass Widmer
• Tami Widmer, MA, LMHC, LPC
• George E Wiebe, MD
• Bonnie Ann Wiebeck Sweetland, LAC
• Kathryn Wiedeman, LPTA
• Cody Wiench, MD
• Sharla Ann Wiest, RD, CD
• Katherine E Wiggin, ND
• Megan Lynn Wiggins, LMHCA
• Corrina Wijma

• Registered Dietitian in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.