Individual provider Active NPI

Zephyr Dunnicliffe, MS, CN, LMHCA

  • Nutritionist
  • Seattle, WA
National Provider Identifier
1174912802
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU 60507314 Issued in WA
Practice address
1904 3Rd Ave
Ste 918
Seattle, WA 98101-1126
Phone
(206) 431-0138
Fax
(206) 246-5819
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC 60507166 WA
Nutritionist 133N00000X NU 60507314 WA Primary

Addresses

Primary practice location

1904 3Rd Ave
Ste 918
Seattle, WA 98101-1126

Mailing address

1904 3Rd Ave
Ste 918
Seattle, WA 98101-1126
Phone (206) 431-0138

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MC 60507166WAMDMental Health Counselor
NU 60507314WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Passionate Nutrition Nutritionist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1174912802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE",
            "address_2": "STE 918",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011126",
            "telephone_number": "206-431-0138",
            "fax_number": "206-246-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE",
            "address_2": "STE 918",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011126",
            "telephone_number": "206-431-0138",
            "fax_number": "206-246-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNICLIFFE",
        "first_name": "ZEPHYR",
        "credential": "MS, CN, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60507166",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU 60507314",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 19, 2015; 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.