Active NPI
Lauren Beth Johnson, RDN
- Registered Dietitian
- Olympia, WA
National Provider Identifier
1093424566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 61140985
- Practice address
- 3030 Limited LN NW
Olympia, WA 98502-2704 - Phone
- (360) 491-1399
- Fax
- (360) 704-2914
- NPI assigned
- Nov 23, 2022
- Last updated
- Nov 26, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 61140985 | WA | Primary |
| Case Manager/Care Coordinator | 171M00000X | DI61140985 | WA |
Addresses
Primary practice location
3030 Limited LN NW
Olympia, WA 98502-2704
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other names 1
- Lauren Beth Rottman
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 |
|---|---|---|---|
| 61140985 | WA | MD | Registered Dietitian |
| DI61140985 | WA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radically Empowered Nutrition | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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": "1669161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1093424566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LIMITED LN NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985022704",
"telephone_number": "360-491-1399",
"fax_number": "360-704-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAUREN",
"middle_name": "BETH",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-23",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "61140985",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "DI61140985",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "ROTTMAN",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 26, 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.