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KIMBERLY ANNE FUNK
NPI 1396233292
Dietitian, Registered in Murray, UT

Active since April 25, 2018
5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-7000 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2021, May 10, 2018, Apr 25, 2018 (3 updates tracked since 2018).

About Kimberly Anne Funk NPPES

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

KIMBERLY ANNE FUNK (NPI 1396233292) is an individual dietitian, registered in Murray, Utah, licensed in Utah (11034411-4901) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1396233292
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIMBERLY ANNE FUNK
Location Address5121 S COTTONWOOD STMurray, UT 84107-5701
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(801) 507-7000
Sole ProprietorNo
Enumeration DateApril 25, 2018
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1396233292 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 UT · 11034411-4901
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.
5121 S COTTONWOOD ST, Murray, UT 84107
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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)

Kimberly Anne Funk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Ihc Health Services, Inc.
Same address
General Acute Care Hospital
5121 COTTONWOOD ST
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1043220650 (801) 507-7000

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.

ANASTASIYA MANKOUSKI MD
Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-7000
TARYN A. YOUNG MD
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-4384
NATHANIEL ALAN KELLER DPT
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (805) 798-2901
JENNIFER LAWLEY RN
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
DR. JARED DAVID MILLER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Salt Lake County (801) 507-3500
JONATHAN MIDDLEMISS PA-C
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3460
RICHA PARAG SHETH MD
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-7000
ANDREW SCOTT BIESINGER NP
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107
Salt Lake County (801) 507-3462

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 Kimberly Funk's NPI number?

The NPI number for Kimberly Funk is 1396233292. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Kimberly Funk located?

Kimberly Funk practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-7000.

What is Kimberly Funk's specialty?

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

Is Kimberly Funk enrolled in Medicare?

Yes. Kimberly Funk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Funk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Funk reassigns Medicare benefits to Ihc Health Services, Inc. (Murray, UT). 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 Kimberly Funk'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 Kimberly Funk was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.