Individual provider Active NPI

Katrina Marie McGiffin, MS, CN

  • Nutritionist
  • Seattle, WA
National Provider Identifier
1194087866
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU 60242396 Issued in WA
Practice address
5340 Ballard Ave NW
Seattle, WA 98107-4060
Phone
(310) 625-6628
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU 60242396 WA Primary

Addresses

Primary practice location

5340 Ballard Ave NW
Seattle, WA 98107-4060

Mailing address

1310 N Lucas PL
Unit 201
Seattle, WA 98103-8159
Phone (310) 625-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NU 60242396WAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1194087866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N LUCAS PL",
            "address_2": "UNIT 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038159",
            "telephone_number": "310-625-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 BALLARD AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074060",
            "telephone_number": "310-625-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIFFIN",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU 60242396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.