Active NPI
Maureen Caroline Lilly, MS, RDN
- Registered Dietitian
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60423002
- Practice address
- 620 5TH Ave S Ste 200
Kirkland, WA 98033-6736 - Phone
- (425) 814-5100
- Fax
- (425) 814-5103
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | DI60423002 | WA | Primary |
Addresses
Primary practice location
620 5TH Ave S Ste 200
Kirkland, WA 98033-6736
Mailing address
PO Box 741515
Los Angeles, CA 90074-1515
Phone (206) 515-5811
Other practice location 1
13244 NE 40th St
Bellevue, WA 98005-1468
Phone (406) 207-0224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11800 NE 128TH St
Suite 300
Kirkland, WA 98034-7211
Phone (425) 821-8004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI60423002 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Dietitian, Registered | Current | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
620 5th Ave S
Ste 200
Kirkland, WA 98033
Phone (425) 814-5100
11800 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 814-5100
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Family Medicine Physician
- Bainbridge Island, WA
- NPI 1730237942
Dietitian, Registered
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1124641527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741515",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900741515",
"telephone_number": "206-515-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 5TH AVE S STE 200",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336736",
"telephone_number": "425-814-5100",
"fax_number": "425-814-5103"
}
],
"practiceLocations": [
{
"address_1": "13244 NE 40th St",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980051468",
"country_code": "US",
"telephone_number": "406-207-0224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LILLY",
"first_name": "MAUREEN",
"middle_name": "CAROLINE",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60423002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.