Kimberly J Mathai, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00000974 Issued in WA

Practice address

16523 7TH PL W
Lynnwood, WA 98037-8107

Phone

(425) 412-3280

Fax

(425) 412-3281

NPI assigned

Feb 8, 2008

Last updated

Dec 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly Mathai Ms Rd

  • Registered Dietitian
  • Seattle, WA
  • NPI 1437250743
  Authorized official Same address or phone

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1912185174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY STE 217",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339018",
            "telephone_number": "206-363-5420",
            "fax_number": "206-257-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16523 7TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378107",
            "telephone_number": "425-412-3280",
            "fax_number": "425-412-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00000974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Mason, DPT
• Massage Connection, PLLC
• Massoud Khami, D.D.S., Jontiana Badei, D.D.S., P.S.
• Timothy Masters
• Ramil Mateo, D.D.S
• Aanya Mathias
• Kathleen Mary Matkoski, PH.D.
• Mariia Matsai
• Kathleen K Matsuzaki, RPH
• Kathleen Matteson, N.D, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.