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Active NPI 1871652255 Individual Practitioner Female Practitioner

Melissa Nicole Kirk , RD, CD, CDE

Dietitian, Registered • Longview, WA

Professional Overview & Biography Verified Profile Summary

Melissa Kirk, RD, CD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Longview, WA. Practice services are available at 1044 11TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1044 11th Ave

Longview, WA 986322506

Telephone 3603539432
Fax 3603539440
Associated Practice Facility / Clinic
🏢 Cowlitz Indian Tribe Facility NPI 1851328447

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Longview, 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 DI00000860

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
8432411 (WA)

Practice Associates & Co-Workers

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

26 Associated Practitioners
Celia Delaney , MA

Counselor - Mental Health

NPI 1033508064

Master of Arts

Cheryl Carter , MS, LMHCA, CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1124486873

Master of Science, LMHCA, CDPT

Stephanie Degroat

Social Worker - Clinical

NPI 1194205609
Kahanu Kahoonei , LICSW

Social Worker - Clinical

NPI 1215600697

Licensed Independent Clinical Social Worker

Marlencia Williams , LICSW

Social Worker - Clinical

NPI 1215687934

Licensed Independent Clinical Social Worker

Simone Krieger , RN

Registered Nurse

NPI 1225451669

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2013

Registered at 1044 11TH AVE, LONGVIEW, WA 986322506 (Tel: 3603539432)

📍
Updated Business Mailing Address July 16, 2013

Registered at PO BOX 2429, LONGVIEW, WA 986328486 (Tel: 3603539432)

👤
Provider Name / Credentials Updated July 16, 2013

Recorded as MELISSA KIRK, R.D., C.D., C.D.E.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2013

Dietitian, Registered (License #DI00000860 in WA)

🟢
Initial NPI Registration & Enumeration December 08, 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: 1871652255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: July 16, 2013
Sole Proprietor: No

Mailing Address

Po Box 2429

Longview, WA 986328486

Phone: 3603539432

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.