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Active NPI 1295272573 Individual Practitioner Female Practitioner

Kacey Roach , RD

Dietitian, Registered • Bellingham, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kacey Roach, RD is a certified Dietitian, Registered practicing in Bellingham, WA. With approximately 10 years of clinical experience since graduating from Adio/Pennsylvania Institute Of Straight Chiropractic in 2016, Kacey Roach delivers high-quality medical care to the local community at 2608 KWINA RD.

Kacey Roach is affiliated with Lummi Indian Business Council and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2608 Kwina Rd

Bellingham, WA 982269291

Telephone 3603122100
Associated Practice Facility / Clinic
🏢 Lummi Indian Business Council Facility NPI 1184743221

Medicare Profile & Education

Medical School

Adio/pennsylvania Institute Of Straight Chiropractic

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bellingham, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -6.3 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
50 Specialists

Practicing in Bellingham, WA (2154 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roach (10 Years) 10 Yrs
Bellingham Specialty Average (16.3 Years) 16.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-13
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI60727139

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

Commercial Insurance / Payer ID License
DI60727139 (WA)

Hospital & Practice Group Affiliations

Lummi Indian Business Council

2592 Kwina Rd, Bellingham, WA 982269278

Phone: 36038404642285

Practice Associates & Co-Workers

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

40 Associated Practitioners
Karalee Knox , PT

Physical Therapist

NPI 1003167800

Physical Therapist

NPI 1033672571

Doctor of Medicine (M.D.)

Rachel Heyne , RN

Registered Nurse

NPI 1073104048

Registered Nurse

NPI 1073190328

Doctor of Medicine (M.D.)

William Lucero , CPC

Peer Specialist

NPI 1104698984
April Hillaire , RN

Registered Nurse

NPI 1104702471

Registered Nurse

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location August 13, 2024

Registered at 2608 KWINA RD, BELLINGHAM, WA 982269291 (Tel: 3603122100)

📍
Updated Business Mailing Address August 13, 2024

Registered at 2608 KWINA RD, BELLINGHAM, WA 982269291 (Tel: 3603122100)

📍
Updated Practice Location April 28, 2020

Registered at 809 31ST ST, ANACORTES, WA 982213401 (Tel: 3607553586)

📍
Updated Business Mailing Address April 28, 2020

Registered at 1019 PACIFIC AVE, EVERETT, WA 982014148 (Tel: 4252595195)

👤
Provider Name / Credentials Updated April 28, 2020

Recorded as KACEY ROACH, RD

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2017

Registered at 3101 NEWMARKET ST, SUITE 103, BELLINGHAM, WA 982263801 (Tel: 4257782220)

📍
Updated Business Mailing Address March 14, 2017

Registered at 21911 76TH AVE W, SUITE 106, EDMONDS, WA 980267918 (Tel: 4257782220)

👤
Provider Name / Credentials Updated March 14, 2017

Recorded as KACEY BRUNNER, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Dietitian, Registered (License #DI60727139 in WA)

NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2017

Registered at 21911 76TH AVE W, SUITE 106, EDMONDS, WA 980267918 (Tel: 4257782220)

📍
Updated Business Mailing Address January 25, 2017

Registered at 21911 76TH AVE W, SUITE 106, EDMONDS, WA 980267918 (Tel: 4257782220)

👤
Provider Name / Credentials Updated January 25, 2017

Recorded as KACEY BRUNNER, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2017

Dietitian, Registered (License #DI60727139 in WA)

🟢
Initial NPI Registration & Enumeration January 25, 2017

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: 1295272573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2017
Last Update: August 13, 2024
Sole Proprietor: No

Mailing Address

2608 Kwina Rd

Bellingham, WA 982269291

Phone: 3603122100

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.