Individual provider Active NPI

Erica Catherine Polney, MS RDN

  • Registered Dietitian
  • Lynnwood, WA
National Provider Identifier
1225676406
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86090808
Practice address
5026 196TH St SW
Lynnwood, WA 98036-6102
Phone
(425) 740-8571
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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 86090808 Primary

Addresses

Primary practice location

5026 196TH St SW
Lynnwood, WA 98036-6102

Mailing address

322 22ND St
Snohomish, WA 98290-1819
Phone (512) 964-3033

Other names 1

  • Erica Catherine Polney Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1225676406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 22ND ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901819",
            "telephone_number": "512-964-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366102",
            "telephone_number": "425-740-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLNEY",
        "first_name": "ERICA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MS RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86090808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "POLNEY",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.