Organization Active NPI

Regents Dietitian Services

  • Registered Dietitian
  • Bothell, WA
National Provider Identifier
1225907876
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
REGENTS DIETITIAN SERVICES
Practice address
1621 Seattle Hill Rd Apt F1
Bothell, WA 98012-4103
Phone
(612) 559-7227
NPI assigned
Nov 3, 2025
Organization subpart
Yes
Parent organization
REGENTS CARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Dr. Nicole Nyasha Karongo, PHD, MPH, RDN, LDNNPI 1487484010
Title
Founder/Ceo
Phone
(612) 559-7227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1201X

Addresses

Primary practice location

1621 Seattle Hill Rd Apt F1
Bothell, WA 98012-4103

Mailing address

1621 Seattle Hill Rd Apt F1
Bothell, WA 98012-4103

National Provider Directory

National Provider Directory
Part of
Regents Dietitian Services

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1225907876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SEATTLE HILL RD APT F1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980124103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SEATTLE HILL RD APT F1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980124103",
            "telephone_number": "612-559-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS DIETITIAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS CARE SERVICES",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "KARONGO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "NYASHA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "612-559-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.