Individual provider Active NPI

Kristen K Thompson, RDN, CD, IFNCP

  • Registered Dietitian
  • Everett, WA
National Provider Identifier
1972989291
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI 60584270 Issued in WA
Practice address
4920 Evergreen Way South #1107
Everett, WA 98203
Phone
(425) 298-8760
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 DI 60584270 WA Primary

Addresses

Primary practice location

4920 Evergreen Way South #1107
Everett, WA 98203

Mailing address

4920 Evergreen Way South #1107
Everett, WA 98203
Phone (425) 298-8760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311002006 WA Practitioner - Registered Dietitian Or Nutrition Professional 7911203286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI 60584270WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC CurrentSince Jan 31, 2016 Accepting new patients
Your Dna Dietitian LLC Dietitian, Registered CurrentSince Jan 4, 2026 Accepting new patients
Apple Physical Therapy LLC CurrentSince Jan 31, 2016 Accepting new patients
Apple Physical Therapy, LLC Current Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4920 Evergreen Way
#1107
Everett, WA 98203
Phone (425) 298-8760

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

16310 Bothell Hwy
Ste C
Mill Creek, WA 98012
Phone (425) 582-5526

6601 220th St SW
Ste 1
Mountlake Terrace, WA 98043
Phone (425) 775-7274

Organizations & group practices 4

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1972989291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 EVERGREEN WAY SOUTH #1107",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-298-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 EVERGREEN WAY SOUTH #1107",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-298-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTEN",
        "middle_name": "K",
        "credential": "RDN, CD, IFNCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60584270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.