KATHRYN MUNDALL HOLM (NPI# 1275152712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275152712 |
| Entity Type | Individual |
| Full Name | KATHRYN MUNDALL HOLM |
| Other Name | ELONNA MUNDALL |
| Credential | RDN, CD, CLC |
| Practice Address |
28806 S 887 Pr Se Kennewick WA 99338-1198 |
| Practice Telephone | 5092051018 |
| Mailing Telephone | 5092051018 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 917940 | Dietary & Nutritional Service Providers | |
| N | 174N00000X | Lactation Consultant, Non-RN | 17067 | Other Service Providers |
| Street Address |
28806 S 887 PR SE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99338-1198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172922 | Holmmade Nutrition, LLC | Public Health or Welfare | 28806 S 887 Pr Se, Kennewick, WA 99338 | 2020-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974170 | Madiha Haque | Internal Medicine | Trios Care Center, 3730 Plaza, 4th Floor, Kennewick, WA 99338 | 2017-07-13 |
| 1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
| 1992058895 | Jennifer Kathleen Webb | Massage Therapist | 4206 W. 24th Ave. Suite A 101, Kennewick, WA 99338 | 2012-10-17 |
| 1881999639 | Tyler Rex Thornock | Nurse Anesthetist, Certified Registered | 15205 S. Mountain Ridge Ct, Kennewick, WA 99338 | 2011-01-25 |
| 1528205812 | Christina Ann Hofstetter | Massage Therapist | 4206 W. 24th Ave, Suite B103, Kennewick, WA 99338 | 2009-01-08 |
| 1619184025 | Jennifer Candice Charron | Family Medicine | 3900 S. Zintel Way, Kennewick, WA 99338 | 2007-05-16 |
| 1821211640 | Brandon P Campbell | Chiropractor | 4303 W. 27th Avenue, Suite E, Kennewick, WA 99338 | 2007-04-10 |
| 1902936206 | Stuart Lee Smithson | Chiropractor | 2411 S. Union St., Suite C, Kennewick, WA 99338 | 2007-03-06 |
| 1467580845 | Theodore J Weber Sr. | Specialist/Technologist | 3520 Southridge Blvd, Kennewick, WA 99338 | 2007-02-28 |
| 1093868572 | Canyonview Family Eye Care LLC | Optometrist | 4309 W 27th Place, Suite 102, Kennewick, WA 99338 | 2007-01-19 |
| Find all providers in zip 99338 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598924284 | Laili Abd Latif | Dietitian, Registered | 7102 West Okanogan Place, Benton Franklin Health District, Kennewick, WA 99336 | 2008-06-06 |
| 1780119206 | Kelsey Schmitt | Dietitian, Registered | 3311 W Clearwater Ave, D-222, Kennewick, WA 99336-2710 | 2017-04-21 |
| 1922465285 | Molly Brinker | Dietitian, Registered | 203 W 8th Ave, Kennewick, WA 99336-5630 | 2016-01-18 |
| 1700242674 | Alison Licquia | Dietitian, Registered | 6818 W Kennewick Ave, Suite C, Kennewick, WA 99336-1728 | 2016-01-07 |
| 1831585009 | Jeannette Gomez | Dietitian, Registered | 203 W 8th Ave, Kennewick, WA 99336-5630 | 2015-04-14 |
| 1346631918 | Andrea Patacini | Dietitian, Registered | 203 W 8th Ave, Kennewick, WA 99336-5630 | 2015-02-18 |
| 1386042398 | Erin J Dickerson | Dietitian, Registered | 203 W 8th Ave, Kennewick, WA 99336-5630 | 2014-12-08 |
| 1942622170 | Nicole Opstad | Dietitian, Registered | 203 W 8th Ave, Kennewick, WA 99336-5630 | 2014-01-07 |
| 1467770602 | Carolyn June Keefer | Dietitian, Registered | 7325 W Deschutes Ave, Suite C, Kennewick, WA 99336-6705 | 2010-05-12 |
| 1114187085 | Amy D Lindholm | Dietitian, Registered | 7102 W Okanogan Place, Kennewick, WA 99336 | 2008-06-13 |
| Find all providers in KENNEWICK | ||||
Please comment or provide details below to improve the information on KATHRYN MUNDALL HOLM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.