Individual provider Active NPI

Emily Haymond

  • Registered Dietitian
  • Mountlake Terrace, WA
National Provider Identifier
1184385478
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI60689864 Issued in WA
Practice address
4206 223Rd PL SW
Mountlake Terrace, WA 98043-3641
Phone
(303) 478-9867
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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 DI60689864 WA Primary

Addresses

Primary practice location

4206 223Rd PL SW
Mountlake Terrace, WA 98043-3641

Mailing address

3011 196TH St SW # 1037
Lynnwood, WA 98036-6925
Phone (303) 478-9867

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://provider.kareo.com/emily-haymond Direct

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
DI60689864WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Heart Nutrition LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

3011 196th St SW
#1037
Lynnwood, WA 98036

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1184385478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 196TH ST SW # 1037",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366925",
            "telephone_number": "303-478-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 223RD PL SW",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433641",
            "telephone_number": "303-478-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMOND",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60689864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://provider.kareo.com/emily-haymond",
            "affiliation": "N",
            "endpointDescription": "EMR HIPPA Compliant Messaging Page",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4206 223rd Pl SW",
            "city": "Mountlake Terrace",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980433641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.