MS. LYNN L KIDDER


Address: 12052 Wilmington Way, Mukilteo, WA 98275-6018
Phone: 2062803367

MS. LYNN L KIDDER (NPI# 1952502163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952502163
Entity Type Individual
Full Name MS. LYNN L KIDDER
Credential MPH, RD, CD, ATC
Practice Address 12052 Wilmington Way
Mukilteo
WA 98275-6018
Practice Telephone 2062803367
Mailing Telephone 2062803367
Enumeration Date 2007-05-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
WA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA ATHLETIC TRAINER 2255A2300X 01

Office Location

Street Address 12052 WILMINGTON WAY
City MUKILTEO
State WA
Zip Code 98275-6018

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NPI Name Taxonomy Address Enumeration
1477030245 Brandon Eugene Moore Social Worker 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 2018-07-25
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1780059899 Jamie Kowatch Dietitian, Registered 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 2015-12-01
1225479025 Helen Ra Pharmacist 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 2013-07-10
1861731333 Lynn Sharon Schmidt Physical Therapist 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 2013-02-04
1023318326 Hillary E Hofstaedter Registered Nurse 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 2010-11-02
1528371416 Zita Molnar Fekete Counselor 4460 73rd Pl Sw, Mukilteo, WA 98275 2010-07-20
1497900609 Heidi S. Rendall Family Medicine 8227 44th Ave W., Ste E, Mukilteo, WA 98275 2008-12-02
1558583609 Ana B Rountree Physician Assistant 10710 Mukilteo Spdwy, Mukilteo, WA 98275 2007-05-02
1376769752 Wahid Elbahr Dentist 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 2007-04-17
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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174037402 North Sound Nourishment and Recovery LLC Dietitian, Registered 3213 Wetmore Ave Apt 13, Everett, WA 98201-4365 2017-11-22
1770985525 Jamie Cadenas Dietitian, Registered 19811 138th Ave Se, Renton, WA 98058-7750 2014-09-24
1326291386 Michelle Maguire Hobbs Dietitian, Registered 33501 First Way S, Federal Way, WA 98003 2008-11-03
1881769701 Elizabeth Claire Duroe Dietitian, Registered 220 W Olympic Pl Apt 109, Seattle, WA 98119-3750 2006-11-24
1114566932 Sydney Davis Dietitian, Registered 600 Ne 92nd Ave, Vancouver, WA 98664-3225 2019-12-26
1124509310 Erika Hickmott Dietitian, Registered 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-08-24
1053828517 Katherine Boyer Dietitian, Registered 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2018-01-05
1689119588 Garrett Kendall Knecht Dietitian, Registered 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2016-12-30
1083066625 Elizabeth Hulbrock Dietitian, Registered 125 16th Ave E, Cwb F112, Seattle, WA 98112-5211 2016-07-07
1215383112 Emily Kurlak Dietitian, Registered 4800 Sand Point Way Ne, M/s Oa.5.210, Seattle, WA 98105-3901 2016-05-10
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Competitor

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City MUKILTEO
Zip Code 98275

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Dataset Information

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.

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