Active NPI
Nikki Spring Stevenson, RDN
- Registered Dietitian
- Renton, WA
National Provider Identifier
1225658941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 968290
- Practice address
- 18411 120TH Ave SE
Renton, WA 98058-7254 - Phone
- (206) 799-7273
- NPI assigned
- Apr 22, 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 | 968290 | WA | Primary |
Addresses
Primary practice location
18411 120TH Ave SE
Renton, WA 98058-7254
Mailing address
18411 120TH Ave SE
Renton, WA 98058-7254
Phone (206) 799-7273
Other names 1
- Nikki Spring Nygren
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nikki@movingforwardnutrition.com | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 968290 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moving Forward Nutrition | Dietitian, Registered | Current | 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": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1225658941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18411 120TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980587254",
"telephone_number": "206-799-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18411 120TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980587254",
"telephone_number": "206-799-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "NIKKI",
"middle_name": "SPRING",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "968290",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nikki@movingforwardnutrition.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18411 120th Ave SE",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980587254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NIKKI",
"last_name": "NYGREN",
"middle_name": "SPRING",
"credential": "RDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.