JESSICA KIM (NPI# 1467879767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467879767 |
| Entity Type | Individual |
| Full Name | JESSICA KIM |
| Credential | MS, RDN, CD |
| Practice Address |
3912 10th St Se Ste 101 Puyallup WA 98374-2188 |
| Mailing Address |
Po Box 2170 Sumner WA 98390-0480 |
| Practice Telephone | 2538484700 |
| Practice Fax Number | 2538482284 |
| Mailing Telephone | 2538402313 |
| Mailing Fax Number | 2538406340 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60453724 | 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 |
| 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 |
| 1225656432 | Jessica Stephanie Kim | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-14 |
| Street Address |
3912 10TH ST SE STE 101 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174168728 | Alexander Kramer | Physical Therapist | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2019-11-07 |
| 1649833369 | Travis Michael King | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2019-04-18 |
| 1760968838 | Brittany Lee Tierney | Physical Therapist | 3912 10th St Se Ste 101, Puyallup, WA 98374 | 2018-07-12 |
| 1871095646 | Daniel Hagan | Occupational Therapist | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2018-03-07 |
| 1467861435 | Shannon Lynn Larimore | Massage Therapist | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| 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 |
|---|---|---|---|---|
| 1982262457 | Viva Nutrition Counseling LLC | Dietitian, Registered | 13220 96th Avenue Ct E, Puyallup, WA 98373-5528 | 2019-05-30 |
| 1699338525 | Mariah Lenker | Dietitian, Registered | 1002 39th Ave Sw Ste 200, Puyallup, WA 98373-3813 | 2019-04-16 |
| 1518451483 | Sandra Pearce | Dietitian, Registered | 3712 9th St Sw Ste 1a, Puyallup, WA 98373-3564 | 2018-06-14 |
| 1144694738 | Melissa Foor | Dietitian, Registered | 3912 10th St Se Ste C, Puyallup, WA 98374-2188 | 2015-11-19 |
| 1730387986 | Brooke S Douglas | Dietitian, Registered | 15308 136th Ave E, Puyallup, WA 98374-9241 | 2007-07-10 |
| 1295344067 | Ali Nicole Coster | Dietitian, Registered | 1408 3rd St Se Ste 200, Puyallup, WA 98372-3702 | 2020-07-28 |
| 1194340349 | Miroslava Anatolyevna Onishchenko | Dietitian, Registered | 1420 3rd St Se Ste 106, Puyallup, WA 98372-3730 | 2020-06-13 |
| 1467014951 | Jessica Lynn Morris | Dietitian, Registered | 1002 39th Ave Sw Ste 200, Puyallup, WA 98373-3813 | 2019-07-03 |
| 1992362008 | Sea-mar Community Health Center | Dietitian, Registered | 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 | 2019-05-23 |
| 1649833369 | Travis Michael King | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2019-04-18 |
| Find all providers in PUYALLUP | ||||
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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.