Individual provider Active NPI

Danielle Cuddeback, RDN

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1154958080
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86104339 Issued in WA
Practice address
1717 22ND Ave Unit 307
Seattle, WA 98122-6287
Phone
(425) 231-0194
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86104339 WA Primary
Registered Dietitian 133V00000X DIET.DI.61037761 WA

Addresses

Primary practice location

1717 22ND Ave Unit 307
Seattle, WA 98122-6287

Mailing address

1717 22ND Ave Unit 307
Seattle, WA 98122-6287
Phone (425) 231-0194

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dani@EatHappy.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86104339WAMDRegistered Dietitian
DIET.DI.61037761WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1154958080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 22ND AVE UNIT 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226287",
            "telephone_number": "425-231-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 22ND AVE UNIT 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226287",
            "telephone_number": "425-231-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDDEBACK",
        "first_name": "DANIELLE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86104339",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DIET.DI.61037761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dani@EatHappy.com",
            "affiliation": "N",
            "endpointDescription": "Website Address",
            "address_1": "1717 22nd Ave Unit 307",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981226287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 23, 2020; 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.