Individual provider Active NPI

Elaine Claire Cumbie, M.A., RD,CDE

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1104915057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00000759 Issued in WA
Practice address
4800 Sand Point Way NE
M/S 3726
Seattle, WA 98105-3901
Phone
(206) 987-1222
Fax
(206) 987-5087
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DI00000759 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE
M/S 3726
Seattle, WA 98105-3901

Mailing address

5412 Kennedy Ave SE
Auburn, WA 98092-0805
Phone (253) 804-6521

Other identifiers 3

IdentifierTypeStateIssuer
8262941MedicaidWA
DI00000759OtherWASTATE LICENSE
R598491OtherWADIETETIC REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305002333 CA Practitioner - Registered Dietitian Or Nutrition Professional 8224201660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians

Practice addresses (Care Compare)

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
DI00000759WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Specialty Medical Group CurrentSince Jan 25, 2025 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

Interoperability endpoints

  • Direct secure messaging: elaine.cumbie.1@11434.direct.athenahealth.com
  • Direct secure messaging: telemed2u.elainecumbi@160918.advancedmd-direct.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, 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104915057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 KENNEDY AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980920805",
            "telephone_number": "253-804-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "M/S 3726",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-1222",
            "fax_number": "206-987-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBIE",
        "first_name": "ELAINE",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "M.A., RD,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00000759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8262941",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DI00000759",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETETIC REGISTRATION",
            "identifier": "R598491",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.