Individual provider Active NPI

Caroline Samantha Simpson, MSN

  • Registered Dietitian
  • Bellingham, WA
National Provider Identifier
1073112637
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI61102620 Issued in WA
Practice address
1501 Fraser St # M-104
Bellingham, WA 98229-5828
Phone
(734) 476-1520
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 DI61102620 WA Primary

Addresses

Primary practice location

1501 Fraser St # M-104
Bellingham, WA 98229-5828

Mailing address

2409 38TH St
Bellingham, WA 98229-3311
Phone (734) 476-1520

Other practice location 1

16345 NE 87th St # B6
Redmond, WA 98052-3503
Phone (425) 882-1697

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
DI61102620WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Family Nutrition PLLC Dietitian, Registered CurrentSince May 4, 2025 Accepting new patients
Healthpoint Past Accepting new patients

Locations

1501 Fraser St
#M104
Bellingham, WA 98229
Phone (360) 317-0737

Interoperability endpoints

  • Direct secure messaging: caroline.renner.p3@direct.hpc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1073112637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 38TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293311",
            "telephone_number": "734-476-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FRASER ST # M-104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982295828",
            "telephone_number": "734-476-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16345 NE 87th St # B6",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523503",
            "country_code": "US",
            "telephone_number": "425-882-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CAROLINE",
        "middle_name": "SAMANTHA",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61102620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.