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Kacey Roach , RD

Dietitian, Registered β€’ Bellingham, WA

Active NPI 1295272573 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2608 Kwina Rd
Bellingham, WA 982269291

Call 3603122100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2608 Kwina Rd

Bellingham, WA 982269291

Telephone 3603122100
Organization at the Same NPPES Address or Phone
Lummi Indian Business Council Facility NPI 1184743221

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lummi Indian Business Council. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Adio/pennsylvania Institute Of Straight Chiropractic

Graduation Year

2016

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kacey Roach has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Bellingham and Washington

49 active clinicians are listed under Dietitian, Registered with a practice address in Bellingham, WA (2,134 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bellingham

10.2% of these 49 clinicians have the CMS telehealth indicator.

26.5% of these 49 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-13
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier License
DI60727139 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20201106000319

Enrollment State Jurisdiction

WA

PECOS Control ID

5092125898

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lummi Indian Business Council

2592 Kwina Rd, Bellingham, WA 982269278

Phone: 36038404642285

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Ron Battle , MD

Family Medicine

NPI 1922193069

Doctor of Medicine (M.D.)

Gregory Gardner

Internal Medicine - Rheumatology

NPI 1376628107
Hannah Gee

Family Medicine

NPI 1215469838
Elizabeth Golden , ARNP

Nurse Practitioner - Family

NPI 1497737316

Advanced Registered Nurse Practitioner

NPI 1033672571

Doctor of Medicine (M.D.)

Karalee Knox , PT

Physical Therapist

NPI 1003167800

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location August 13, 2024

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

πŸ“
Updated Business Mailing Address August 13, 2024

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

πŸ“
Updated Practice Location April 28, 2020

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

πŸ“
Updated Business Mailing Address April 28, 2020

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

πŸ‘€
Provider Name / Credentials Updated April 28, 2020

Recorded as KACEY ROACH, RD

βœ…
NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 14, 2017

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

πŸ“
Updated Business Mailing Address March 14, 2017

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

πŸ‘€
Provider Name / Credentials Updated March 14, 2017

Recorded as KACEY BRUNNER, RD

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

Dietitian, Registered (license number reported to NPPES: WA DI60727139)

βœ…
NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 25, 2017

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

πŸ“
Business Mailing Address (Initial Record) January 25, 2017

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

πŸ‘€
Provider Name / Credentials (Initial Record) January 25, 2017

Recorded as KACEY BRUNNER, RD

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

Dietitian, Registered (license number reported to NPPES: WA DI60727139)

🟒
Initial NPI Registration & Enumeration January 25, 2017

First registered as active Individual Practitioner in NPPES Database.

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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

Other Dietitian, Registereds in Bellingham

All Dietitian, Registereds in Bellingham

Mailing Address

2608 Kwina Rd

Bellingham, WA 982269291

Phone: 3603122100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.