Individual provider Active NPI

Jennifer Rita Dearden, RD

  • Registered Dietitian
  • Lynnwood, WA
National Provider Identifier
1013823145
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DIET.DI.61379853 Issued in WA
Practice address
2933 211TH St SW
Lynnwood, WA 98036-8945
Phone
(215) 622-0889
NPI assigned
Aug 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DIET.DI.61379853 WA Primary

Addresses

Primary practice location

2933 211TH St SW
Lynnwood, WA 98036-8945

Mailing address

2933 211TH St SW
Lynnwood, WA 98036-8945
Phone (215) 622-0889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1013823145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 211TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980368945",
            "telephone_number": "215-622-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 211TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980368945",
            "telephone_number": "215-622-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDEN",
        "first_name": "JENNIFER",
        "middle_name": "RITA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DIET.DI.61379853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.