Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kim Marie Vagt, MS, RD, CDE

Individual provider Registered Dietitian · NPI 1720384589

MS. Kim Marie Vagt, MS, RD, CDE is a Registered Dietitian in Jackson, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

200 Mission Blvd
Jackson, CA 95642-2564
Phone: (209) 223-7430
Fax: (209) 257-7634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 013949 (CA)

Record details

NPI number1720384589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDE
Sole proprietorYes
NPI enumeratedJanuary 26, 2011
Last updated in NPPESJanuary 26, 2011

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