Active NPI
Analeis Masters, MS RDN CD ACSM CEP
- Registered Dietitian
- Olympia, WA
National Provider Identifier
1093259061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60705074
- Practice address
- 3920 Capital Mall Dr SW Ste 100a
Olympia, WA 98502-8701 - Phone
- (360) 596-4614
- NPI assigned
- Dec 11, 2016
- 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 | 60705074 | WA | Primary |
Addresses
Primary practice location
3920 Capital Mall Dr SW Ste 100a
Olympia, WA 98502-8701
Mailing address
5005 Main St Apt 513
Tacoma, WA 98407-3160
Phone (509) 929-2021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60705074 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| All Star Dietitian LLC | Dietitian, Registered | Past | Accepting new patients |
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": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481414400000",
"number": "1093259061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 MAIN ST APT 513",
"city": "TACOMA",
"state": "WA",
"postal_code": "984073160",
"telephone_number": "509-929-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DR SW STE 100A",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028701",
"telephone_number": "360-596-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "ANALEIS",
"credential": "MS RDN CD ACSM CEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-11",
"last_updated": "2016-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60705074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.