Active NPI
Kate Przybycien, RD
- Registered Dietitian
- Shelton, WA
National Provider Identifier
1063268555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61557778
- Practice address
- 901 Mountain View Dr
Shelton, WA 98584-4401 - Phone
- (360) 426-1611
- NPI assigned
- Apr 25, 2024
- Last updated
- Apr 25, 2024
- 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 | DI61557778 | WA | Primary |
Addresses
Primary practice location
901 Mountain View Dr
Shelton, WA 98584-4401
Mailing address
PO Box 1668
Shelton, WA 98584-5001
Phone (360) 426-1611
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 |
|---|---|---|---|
| DI61557778 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1063268555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1668",
"city": "SHELTON",
"state": "WA",
"postal_code": "985845001",
"telephone_number": "360-426-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MOUNTAIN VIEW DR",
"city": "SHELTON",
"state": "WA",
"postal_code": "985844401",
"telephone_number": "360-426-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRZYBYCIEN",
"first_name": "KATE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61557778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, WA
- Proactive Supportive Housing Services, Inc.
- Jennifer Joline Proctor
- Providence Health & Services - Washington (Providence St. Peter Chemical Dependency Center)
- Providence Health & Services Washington (Providence St Peter Hospital)
- Valerie Pruett
- Public Hopsital District No 1 of Mason County (Mason Health-Oakland Bay Primary Care)
- Public Hospital District No 1 of Mason County (Mason Health-Mason Clinic)
- Public Hospital District No 1 of Mason County (MGH Family Health, Ankle and Foot)
- Public Hospital District No 1 of Mason County (Mason General Hospital Anesthesia Services)
- Public Hospital District No 1 of Mason County (MGH Family Health Ankle & Foot Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.