Active NPI
Keriann Dunning
- Registered Dietitian
- Bainbridge Island, WA
National Provider Identifier
1053858852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 60410648
- Practice address
- 10701 NE Manitou Park Blvd
Bainbridge Island, WA 98110-1336 - Phone
- (425) 308-9833
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI 60410648 | WA | Primary |
Addresses
Primary practice location
10701 NE Manitou Park Blvd
Bainbridge Island, WA 98110-1336
Mailing address
10701 NE Manitou Park Blvd
Bainbridge Island, WA 98110-1336
Phone (425) 308-9833
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 60410648 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients |
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1053858852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 NE MANITOU PARK BLVD",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101336",
"telephone_number": "425-308-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 NE MANITOU PARK BLVD",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101336",
"telephone_number": "425-308-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNING",
"first_name": "KERIANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI 60410648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.