Active NPI
Elizabeth S Kraft, MSN
- Registered Dietitian
- Bothell, WA
National Provider Identifier
1053944314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61007371
- Practice address
- 12610 NE 180TH St Apt Cc202
Bothell, WA 98011-3171 - Phone
- (603) 333-8648
- NPI assigned
- Feb 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | DI61007371 | WA | Primary |
Addresses
Primary practice location
12610 NE 180TH St Apt Cc202
Bothell, WA 98011-3171
Mailing address
PO Box 3360
Portland, OR 97208-3360
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI61007371 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1053944314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12610 NE 180TH ST APT CC202",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113171",
"telephone_number": "603-333-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "ELIZABETH",
"middle_name": "S",
"credential": "MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61007371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.