NPIMap

Individual provider Active NPI

Carolyn Zhaleh Gazori, RD, CDE

  • Registered Dietitian
  • Everett, WA
National Provider Identifier
1063714582
Registry record updated Dec 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001135 Issued in WA
Practice address
13723 Puget Park Dr
Everett, WA 98208-9447
Phone
(425) 337-0123
Fax
(425) 316-8031
NPI assigned
Dec 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2010

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 DI00001135 WA Primary

Addresses

Primary practice location

13723 Puget Park Dr
Everett, WA 98208-9447

Mailing address

13723 Puget Park Dr
Everett, WA 98208-9447
Phone (425) 337-0123

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

LicenseStateTypeSpecialty
DI00001135WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital of Orange County Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Young Men's Christian Association of Snohomish County Dietitian, Registered Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291420800000",
    "number": "1063714582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13723 PUGET PARK DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089447",
            "telephone_number": "425-337-0123",
            "fax_number": "425-316-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13723 PUGET PARK DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089447",
            "telephone_number": "425-337-0123",
            "fax_number": "425-316-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZORI",
        "first_name": "CAROLYN",
        "middle_name": "ZHALEH",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-04",
        "last_updated": "2010-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2010; 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.