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JESSICA KIM MS, RDN, CD
NPI 1467879767
Dietitian, Registered in Puyallup, WA

Active since March 25, 2014Accepts Medicare Assignment
3912 10TH ST SE STE 101, PUYALLUP, WA 98374(253) 848-4700(253) 848-2284 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Kim Ms, Rdn, Cd NPPES

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

JESSICA KIM MS, RDN, CD (NPI 1467879767) is an individual dietitian, registered in Puyallup, Washington, licensed in Washington (DI60453724) and active in the NPI registry since March 2014. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1467879767
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJESSICA KIMCredential: MS, RDN, CD
Location Address3912 10TH ST SE STE 101Puyallup, WA 98374-2188
Mailing AddressPo Box 2170Sumner, WA 98390-0480 · (253) 840-2313 · Fax (253) 840-6340
Phone(253) 848-4700
Fax(253) 848-2284
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2014
✔ NPI 1467879767 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 WA · DI60453724
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.
3912 10TH ST SE STE 101, Puyallup, WA 98374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Kim Ms, Rdn, Cd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931323698
PECOS Enrollment IDI20140619000835

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

ALEXANDER KRAMER DPT
Physical Therapist
3912 10TH ST SE STE 101
PUYALLUP, WA 98374
Pierce County (253) 848-4700
YOUJIN PARK DPT
Physical Therapist
3912 10TH ST SE STE 101
PUYALLUP, WA 98374
Pierce County (253) 848-4700
SHANNON LYNN LARIMORE LMT
Massage Therapist
3912 10TH ST SE STE 101
PUYALLUP, WA 98374
Pierce County (253) 848-4700
DARIUS PORTER
Physical Therapist
3912 10TH ST SE STE 101
PUYALLUP, WA 98374
Pierce County (253) 848-4700
CAELAN BAKER DPT
Physical Therapist
3912 10TH ST SE STE 101
PUYALLUP, WA 98374
Pierce County (253) 848-4700
LIANNE DANG
Physical Therapist
3912 10TH ST SE STE 101
PUYALLUP, WA 98374
Pierce County (253) 848-4700
PAUL PETER LUNTAO DPT
Physical Therapist
3912 10TH ST SE STE 101
PUYALLUP, WA 98374
Pierce County (253) 848-4700

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 Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1467879767. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Jessica Kim located?

Jessica Kim practices at 3912 10th St SE Ste 101, Puyallup, WA 98374. The listed phone number is (253) 848-4700.

What is Jessica Kim's specialty?

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

Is Jessica Kim enrolled in Medicare?

Yes. Jessica Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.