KATHRYN MUNDALL HOLM RDN, CD, CLC
NPI 1275152712
Dietitian, Registered in Kennewick, WA
NPI Status: Active since April 14, 2020
Contact Information
28806 S 887 PR SE
KENNEWICK, WA
ZIP 99338
Phone: (509) 205-1018
- Individual
- Female
- Dietitian, Registered
- Opted-Out Medicare
About KATHRYN HOLM
This page provides the complete NPI Profile along with additional information for Kathryn Holm, a provider established in Kennewick, Washington with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1275152712 assigned on April 2020. The practitioner's primary taxonomy code is 133V00000X with license number 917940 (). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1275152712
- Provider Name
- KATHRYN MUNDALL HOLM RDN, CD, CLC
- Other Name
- ELONNA MUNDALL
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 28806 S 887 PR SE KENNEWICK, WA 99338
- Location Phone
- (509) 205-1018
- Mailing Address
- 28806 S 887 PR SE KENNEWICK, WA 99338
- Mailing Phone
- (509) 205-1018
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-14-2020
- Last Update Date
- 04-14-2020
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kathryn Holm opted out of Medicare effective on 06-25-2024 until 06-25-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 917940
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174N00000X | Other Service Providers | Lactation Consultant, Non-RN | 17067 |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-25-2024
Opt-Out End Date: 06-25-2026
Eligible to Order and Refer? No
Reviews for KATHRYN MUNDALL HOLM RDN, CD, CLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 1 | 5 | 2 | 7 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 2 | 5 | 4 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 2 + 5 + 4 + 7 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1275152712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
HOLMMADE NUTRITION, LLC
Public Health or Welfare
28806 S 887 PR SE
KENNEWICK, WA
ZIP 99338
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275152712, enumerated as an "individual" on April 14, 2020.
The provider is located at 28806 S 887 PR SE KENNEWICK, WA 99338 and the phone number is (509) 205-1018.
Dietitian, Registered with taxonomy code 133V00000X.
