"I actively collaborate with patients and their families to positively influence mental and physical health."

I am a licensed family nurse practitioner and integrative/functional medicine specialist. I am sometimes known as "the naturally wise NP", because of my additional training as a complimentary nutritional medicine expert, health and wellness coach, autism specialist, and wound ostomy continence expert. While I cannot be your Primary Care Provider, I am happy to collaborate with whomever you choose.

I received my BSN, RN (1991), became certified as a WOCN expert (1996), received a Masters of Science (2002), Family Nurse Practitioner board certification (2003),  a Masters in Complimentary Alternative Medicine (2014),  and Autism Theory & Practice Certificate (2015). Currently I am working towards a certificate in as a psychiatric nurse practitioner and a doctorate in functional medicine.

My integrative care includes prevention, evaluation, collaboration, and management of the whole person--addressing physical and mental health stressors. My style is relational, and care is evidence-based and personalized.

I actively collaborate with patients and their families to positively influence mental and physical health. Health plans include stress management, sleep improvement, allergy assessment, hormone balancing, mood regulation, dietary changes, activity improvement, genetic testing, nutritional support and traditional prescriptions. 

My whole-person centered approach combines traditional medical practice with holistic health practices to improve my patient's overall mental and physical being. Whether its a child, adolescent, or adult, care is customized and clinically relevant to improve their health and wellness. 

Integrative & Functional Medicine

Integrative Medicine & Functional Medicine blends traditional and naturopathic medicine. As a provider of integrative and functional medicine I offer more time for personalized, quality, evidence based traditional (and natural) medicine treatments. Utilizing only necessary tests, I help identify your top health issues. I take time to interview you, thoroughly examine you, educate about treatments and health care, collaborate and combing both traditional and natural options - all to help you regain health balance. You are a whole person who deserves whole person-centered care. Whether you have health challenges, persistent low energy, feel overwhelmed by stress, struggle with sadness or anxious moods, want more options for managing ADD/ADHD, or have memory issues... I can work with you to come up with a customized health plan that works.

Whole-Person Health

I address your whole person and a collaborative plan is drawn up to help you feel better. Combining the best of traditional and whole-person health, I can help you experience better health!

Teens face many challenges today and their growth and development often influences their ever-changing moods. I try to help them feel welcome and comfortable to help build good health and positively manage their moods and behaviors through coaching, nutrition, and occasionally medication management.

I manage food allergies, weight management, Diabetes, low immune systems, vaccine questions, mood disorders, ADD, treatment of cold and flus, and general health issues, both traditionally and holistically. We can have honest discussions about vaccine needs and choice, sports physicals, wellness visits, learning assessments, ADHD/ADD evaluations and treatment, nutritional advice, and referrals.

Understanding your unique development and behavior is important. Many individuals struggle to manage their moods and regulate their emotions for a variety of reasons. I will work with you to identify natural and traditional support to feel better. I will take a comprehensive look at physical health, life stressors, diet, history of abuse and trauma, growth, and development.

Nutrition, Exercise, and Sleep are essential for managing stress & emotions. Additionally, I might recommend complimentary holistic practices like Nutritional Medicine, therapy, DBT, mindfulness, massage or acupuncture to help with your overall health. Acupuncture can help with a variety of conditions including pain management, hormone imbalance, stress reduction, and decrease addiction urges.

Healthcare is more than a prescription medicine, it is finding out what the root cause of your health imbalances are. It is looking at life stressors, genetics, diet, allergies/sensitivities, hormone balance, sleep, and energy levels. This is the kind of care you deserve.

Understanding the Food-Mood Connection

Healthy food delivers key nutrients to our bodies to be used by our cells to help us fight illness, stress, and keep our moods balanced.

Prescribing both Supplements & Medications

Medications can't replace nutrients lost from poor eating. Many medications cause nutrient losses from the body and require dietary changes or high quality supplements. I often prescribe supplements to improve your health and moods.

Helping you make Lifestyle Changes

Our lives are too busy with work, commitments, family, friends, and excess noise. Electronics and technology interfere with our ability to rest, regenerate, and decompress. I can help teach you to balance work and life demands for better health and mental peace.

Helping you manage stress and sleep

Sleep is restorative. There are many reasons people get poor sleep which contributes to low moods, anxiety, irritability, lack of focus, and poor concentration. The foods we eat, our environment, and stress play a role in poor sleep. Hormones and stress play a key role in tiredness and poor sleep, learning to get a better night's rest can make a world of difference.

Helping balance your moods and destress

Through food, specific supplements, medication recommendations, health coaching, and stress reduction, I can help you balance out your moods, anxiety, restlessness and inattention.

Please note that Kimmer Collison-Ris, ARNP does not accept Medicare or Washington Apple Health plans. We will not be able to respond to your inquiry. Please contact Sunrise Services, SeaMar or UnityCare for mental health services.



Good health equals good nutrition. Our modern diets are poor in nutrients. Our foods are not as nutrient dense as our grandparents used to eat. Our busy lifestyles cause us to eat prepackaged meals or fast foods. We consume very little fruits, vegetables, and fresh filtered water - which are necessary for maintaining mental health, fighting illness, and replenishing cells. Our reliance on coffee, energy drinks, sugared and salty snacks, and sodas combined with busy lifestyles contributes to feeling poorly. We offer options to feel good, and function. Many of these conditions can be improved. 

Why nutrition Matters

Amino Acids
A number of amino acids have direct or indirect effects on the levels of specific neurotransmitters, they have the potential of helping to control some of the symptoms of ADHD.

Vitamin A
Protects the body against polluted air and is important for healthy eyesight and mucous membranes. It is needed during pregnancy and lactation. Helps the body build resistance to infections and disease; and is particularly important for healthy skin (high doses of synthetic vitamin A are prescribed for acne).

Vitamin B12
Vitamin B-12, known as cobalamin, methylcobalamin, and hydroxycobalamin,  boosts energy. It prevents  macrocytic anemia, a condition that prevents RBC's from carrying adequate amounts of oxygen and glucose;  causing fatigue, low energy, and  poor concentration. Vitamin B12 influences energy production, cognitive function, digestive health, blood cell production, and nervous system functioning.

Vitamin C
Vitamin C is an essential nutrient as it is known for its immune supporting effects. Vitamin C is used to treat a variety of health issues like colds, flus, and skin diseases. It serves as a healing mechanism, and anti-oxidant which promotes immune function, pro-oxidant  to combat cancer cells, and improves blood vessel integrity. Helps remove heavy metals, is an antioxidant, and helps brain & nervous system function.

Vitamin D-3
Improves mood, strengthens bones, regulates acid/base balance, boosts immune function, and supports muscle contraction.

Folic Acid & Folate
Folic acid or other vitamin B deficiencies have been linked with depression and high homocysteine levels, which impairs methylation needed for synthesis and metabolism of neurotransmitters regulating mood.
Folate (aka cobalamin, methylcobalamin, hydroxycobalamin) has many effects on the body such as energy production, cognitive function, digestive health, blood cell production, and nervous system functioning. 

Magnesium is linked with lower levels of C-reactive protein. It helps soothe muscular tension and eases all types of pain including muscle and menstrual aches. Aids vitamin D.

Omega 3 Essential Fatty Acids
Essential fatty acids (EFA) are needed for normal sensory, cognitive, and motor function. Doco-sahexaenoic acid (DHA) is an EFA and essential for the growth and functional development of the brain in infants. DHA is also required for maintenance of normal brain function in adults. The inclusion of plentiful DHA in the diet improves learning ability, whereas deficiencies of DHA are associated with deficits in learning. DHA is taken up by the brain in preference to other fatty acids. 

We need approximately 10-20mg daily as low body levels alter the taste of protein and lead to protein aversion. Deficiency of zinc increases hyperactivity, impulsivity, and impaired socialization in children with ADHD.