Active NPI
Mildred Bright
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1235315508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00002077
- Practice address
- 2615 SW Trenton St
Seattle, WA 98126-3745 - Phone
- (206) 938-6738
- Fax
- (206) 938-5217
- NPI assigned
- Jan 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI00002077 | WA | Primary |
| Nutrition Education Nutritionist | 133NN1002X | DI00002077 | WA |
Addresses
Primary practice location
2615 SW Trenton St
Seattle, WA 98126-3745
Mailing address
15508 SE 183Rd Dr
Renton, WA 98058-7311
Phone (425) 652-2158
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI00002077 | WA | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1235315508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15508 SE 183RD DR",
"city": "RENTON",
"state": "WA",
"postal_code": "980587311",
"telephone_number": "425-652-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 SW TRENTON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263745",
"telephone_number": "206-938-6738",
"fax_number": "206-938-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "MILDRED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00002077",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "WA",
"license": "DI00002077",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.