Individual provider Active NPI

Kai Joseph Julkowski, RD, RDN

  • Registered Dietitian
  • Battle Ground, WA
National Provider Identifier
1780458141
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86330527 Issued in WA
Practice address
118 S Parkway Ave
Battle Ground, WA 98604-9215
Phone
(562) 221-1007
NPI assigned
Nov 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Registered Dietitian 133V00000X 86330527 WA Primary

Addresses

Primary practice location

118 S Parkway Ave
Battle Ground, WA 98604-9215

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000800 WA Practitioner - Registered Dietitian Or Nutrition Professional 6507218658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86330527WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dietitian, Registered CurrentSince Dec 28, 2023 Accepting new patients
Sea Mar Community Health Centers Dietitian, Registered CurrentSince Dec 28, 2023 Accepting new patients
Sea Mar Community Health Centers Dietitian, Registered Current Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients
Strategic Nutrition Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

118 S Parkway Ave
Battle Ground, WA 98604
Phone (360) 342-8050

7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402

Organizations & group practices 10

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1780458141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S PARKWAY AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049215",
            "telephone_number": "562-221-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULKOWSKI",
        "first_name": "KAI",
        "middle_name": "JOSEPH",
        "credential": "RD, RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86330527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.