MS. JESSICA D KIM (NPI# 1376914721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376914721 |
| Entity Type | Individual |
| Full Name | MS. JESSICA D KIM |
| Credential | MPH, RD, CD |
| Practice Address |
751 Ne Blakely Dr 3rd Floor Issaquah WA 98029-6201 |
| Mailing Address |
801 Broadway Ste 800 Seattle WA 98122-4396 |
| Practice Telephone | 4253137947 |
| Mailing Telephone | 2062156670 |
| Mailing Fax Number | 2062153099 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60488126 | WA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599360 | Jessica Kim | Counselor | 30 Eastbrook Rd Ste 303, Dedham, MA 02026-2084 | 2020-08-17 |
| 1558848127 | Jessica Kim | Chiropractor | 415 N Camden Dr Ste 204, Beverly Hills, CA 90210-4438 | 2018-07-25 |
| 1730691114 | Jessica Kim | Pharmacist | 1145 E Elmwood Ave, Burbank, CA 91501-1665 | 2017-10-25 |
| 1487053328 | Jessica Kim | Nurse Practitioner | 1 Clarks Hl Ste 305, Framingham, MA 01702-8172 | 2014-08-16 |
| 1578972741 | Jessica Kim | Pharmacist | 1864 Markley St, Norristown, PA 19401-2904 | 2014-08-12 |
| 1467879767 | Jessica Kim | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2014-03-25 |
| 1972878973 | Jessica Lee Kim | Occupational Therapist | 12774 Jolette Ave, Granada Hills, CA 91344-1431 | 2012-03-09 |
| 1558656843 | Jessica S Kim | Dentist | 1111 Sixth Ave., #510, San Diego, CA 92101 | 2011-06-14 |
| 1902195811 | Jessica Kim | Student in an Organized Health Care Education/Training Program | 28 Centre Drive, Mailstop 416sa1, Milton, VT 05468 | 2011-03-31 |
| 1952901639 | Jessica Kim | Assistant Behavior Analyst | 1063 Mcgaw Ave, Irvine, CA 92614-5505 | 2020-10-30 |
| Street Address |
751 NE BLAKELY DR 3RD FLOOR |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325751 | Ann-elizabeth Georgianne Jarris | Emergency Medicine | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2005-06-10 |
| 1952935157 | Sunny Yoon | Registered Nurse | 751 Ne Blakely Dr, Swedish Issaquah Campus, Issaquah, WA 98029-6201 | 2020-02-26 |
| 1760012868 | Pacmed Clinics | Clinic/Center | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2020-01-17 |
| 1851864193 | Rachel Licia Crawford | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2019-01-09 |
| 1538617881 | Jan Marie Kay | Pharmacist | 751 Ne Blakely Dr, Testing and Treatment 3rd Floor, Issaquah, WA 98029-6201 | 2016-09-15 |
| 1639627177 | Veronica Esquibel | Pharmacist | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2016-09-13 |
| 1326406968 | Heather Hires | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2016-02-09 |
| 1841664729 | Yeachan Hwang | Student in an Organized Health Care Education/Training Program | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-11-16 |
| 1588036909 | Carrie Hall | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-10-25 |
| 1043602899 | Morgan M Wise | Emergency Medicine | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265946628 | Erin Morisseau | Dietitian, Registered | 405 Nw Gilman Blvd Ste 200, Issaquah, WA 98027-2470 | 2017-11-21 |
| 1538457015 | Ruth Anne Thomas | Dietitian, Registered | 3850 Klahanie Dr Se, Apt 24-302, Issaquah, WA 98029-7794 | 2011-07-18 |
| 1922218155 | Yuchi Yang | Dietitian, Registered | 3856 260th Ave Se, Issaquah, WA 98029-7742 | 2007-05-23 |
| 1740752120 | Mackenzie Rose Schiltz | Dietitian, Registered | 1220 10th Ave Ne, Issaquah, WA 98029-7406 | 2018-12-21 |
| 1508381211 | Diane Margaret Wenzel | Dietitian, Registered | 19129 Se 63rd Pl, Issaquah, WA 98027-8621 | 2017-08-03 |
| 1942694666 | Elizabeth Fitzgerald | Dietitian, Registered | 410 Newport Way Nw, Suite B, Issaquah, WA 98027-3116 | 2015-03-19 |
| 1336578780 | American Nutrition Counseling, LLC | Dietitian, Registered | 3856 260th Ave Se, Issaquah, WA 98029-7742 | 2013-11-06 |
| 1134480569 | Erin M Hoge | Dietitian, Registered | 751 Ne Blakely Dr, Nutrition Services, Issaquah, WA 98029-6201 | 2012-06-01 |
| 1598025363 | Allison Colson | Dietitian, Registered | 751 Ne Blakely Dr, Suite 4010, Issaquah, WA 98029-6201 | 2012-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134256 | Hannah Baillie | Dietitian, Registered | 11651 Se 58th St, Bellevue, WA 98006-3722 | 2020-11-05 |
| 1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
| 1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
| 1598365876 | Michelle Irene Howe | Dietitian, Registered | 14808 23rd Ave Ne, Arlington, WA 98223-9701 | 2020-10-27 |
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1487253621 | Ellen Kim Cho | Dietitian, Registered | 530 Rosewood Dr Sw, Olympia, WA 98502-2686 | 2020-10-20 |
| 1427656925 | Jeannie Lise Belle Castell | Dietitian, Registered | 4229 Glen Terra Dr Se, Olympia, WA 98503-7165 | 2020-10-15 |
| 1104424845 | Mariia Byelykh | Dietitian, Registered | 20113 3rd Ave Se, Bothell, WA 98012-4521 | 2020-10-14 |
| 1629676499 | Shelley Lea Barnhart | Dietitian, Registered | 24315 Se 196th St, Maple Valley, WA 98038-8975 | 2020-10-14 |
| 1235737115 | Beth Ann Smith | Dietitian, Registered | 130 Teal Ln, Eastsound, WA 98245-5077 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.