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KIMBERLEY S HALL DIETICIAN
NPI 1013900869
Dietitian, Registered in Coeur D Alene, ID

Active since August 26, 2005
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 666-2000(208) 666-3963 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberley S Hall Dietician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLEY S HALL DIETICIAN (NPI 1013900869) is an individual dietitian, registered in Coeur D Alene, Idaho, licensed in Idaho (D153) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1013900869
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIMBERLEY S HALLCredential: DIETICIAN
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address11417 N Riata RdHayden, ID 83835-9343 · (208) 659-1670
Phone(208) 666-2000
Fax(208) 666-3963
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1013900869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in ID · D153
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberley S Hall Dietician is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberley Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elizabeth Hugo Rdn Ld
6.6 mi
Dietitian, Registered
1125 E POLSTON AVE STE B
Post Falls, ID 83854
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1710496906 (208) 666-2559

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA CRABTREE M.D.
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
SCOTT GEYER RD
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. MATTHEW KUNZ DO
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
MRS. AMANDA K KAMPF RN, BSN
Student in an Organized Health Care Education/Training Program
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. PATRICK WILLIAM MAGAJNA MD
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
JOSHUA LEPPERT CRNA
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 765-8585
MARC OLAV GRANRUD
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6900
KEVIN NATHANIEL BROWN MD
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Hall's NPI number?

The NPI number for Kimberley Hall is 1013900869. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Kimberley Hall located?

Kimberley Hall practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 666-2000.

What is Kimberley Hall's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kimberley Hall enrolled in Medicare?

Yes. Kimberley Hall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberley Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Hall reassigns Medicare benefits to Elizabeth Hugo Rdn Ld (Post Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberley Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberley Hall was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.