Kathryn Mundall Holm, RDN, CD, CLC
NPI 1275152712ActiveIndividual· Dietitian, Registered· Kennewick, WA
Opted out of Medicare from June 2024 to June 2028. Dietitian, Registered (RDN, CD, CLC) in Kennewick, Washington, with an NPI issued in April 2020.
Overview
| NPI | 1275152712 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, CD, CLC |
| Sole proprietor | No |
| NPI issued | Apr 14, 2020 |
| Last updated in NPPES | Apr 14, 2020 |
| Certified by provider | Apr 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 917940 | — |
| Lactation Consultant, Non-RN | 174N00000X | 17067 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 25, 2024 – Jun 25, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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All 20 registered dietitians in Kennewick · All registered dietitians in Washington