Active NPI
Terri Lynn Blair, RD
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1235513557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 816294
- Practice address
- 155 NE 100TH St Ste 402
Seattle, WA 98125-8010 - Phone
- (206) 925-3525
- Fax
- (206) 925-3237
- NPI assigned
- Jul 16, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 816294 | WA | Primary |
Addresses
Primary practice location
155 NE 100TH St Ste 402
Seattle, WA 98125-8010
Mailing address
PO Box 70145
Seattle, WA 98127-0145
Phone (206) 409-5271
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 |
|---|---|---|---|
| 816294 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition & Wellness Works, Inc. | Dietitian, Registered | Past | 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.
-
- Registered Dietitian
- Seattle, WA
- NPI 1588047419
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1235513557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70145",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981270145",
"telephone_number": "206-409-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 NE 100TH ST STE 402",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981258010",
"telephone_number": "206-925-3525",
"fax_number": "206-925-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "TERRI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "816294",
"primary": true
}
],
"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 Jul 16, 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.