Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY EMMICK, RDN, LDN
Deactivated Sole ProprietorKIMBERLY EMMICK, RDN, LDN is a Registered Dietitian healthcare provider located in MOUNT VERNON, Washington. NPI 1235522574 is deactivated in the NPPES registry. Verify at CMS.
Registered Dietitian · MOUNT VERNON, WA
This NPI has been deactivated.
The record was deactivated on November 14, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235522574
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2015 (8.6775956284153 yrs)
- Last Updated
- Jan 30, 2026
- Deactivated
- Nov 14, 2023
- License
-
DI00001781 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14573 BEAVER MARSH RDMOUNT VERNON, WA, 982739774Browse WA providers · Browse ZIP 98273
- Phone
- 5642607466
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in MOUNT VERNON, WA
| Name | Credential | NPI |
|---|---|---|
| DESIREE ANN WEBSTER | RD, CDE | 1477504470 |
| WENDE DOLSTAD | RD CD | 1609074426 |
| LOU KUPKA-SCHUTT | PHD, RD | 1477712925 |
| SARIMIN RIVERA LLAVONA | RD | 1831411586 |
| ALISON JANAI WEPPLER | — | 1609170182 |
| DIANE C MARX | RDN | 1760781322 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.