Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407921364 Individual Practitioner Female Practitioner

Phyllis P Kirk , RD

Dietitian, Registered • Auburn, WA

Professional Overview & Biography Verified Profile Summary

Phyllis Kirk, RD is a registered healthcare professional specializing in Dietitian, Registered in Auburn, WA. Practice services are available at 126 AUBURN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

126 Auburn Ave
Suite 400

Auburn, WA 980025057

Telephone 2062056801
Fax 2062056866
Associated Practice Facility / Clinic
🏢 Healthpoint Facility NPI 1730186966

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Auburn, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
17 Specialists

Practicing in Auburn, WA (2154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA 851100

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8294597 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Martha Shanahan , RD, CD

Dietitian, Registered

NPI 1083788475

Registered Dietitian, CD

NPI 1205836004
Dr. Nolana Bell , MD

Anesthesiology

NPI 1215931746

Doctor of Medicine (M.D.)

Judith Featherstone

Family Medicine

NPI 1265425946
NPI 1316160310

Registered Pharmacist

Amanda Foster

Psychologist

NPI 1316335243

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 126 AUBURN AVE, SUITE 400, AUBURN, WA 980025057 (Tel: 2062056801)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4511 S 283RD ST, AUBURN, WA 980011108 (Tel: 2062056801)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as PHYLLIS KIRK, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dietitian, Registered (License #851100 in WA)

🟢
Initial NPI Registration & Enumeration November 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407921364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

4511 S 283rd St

Auburn, WA 980011108

Phone: 2062056801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.