Individual provider Active NPI

Cathy Visser, RD

  • Registered Dietitian
  • Olympia, WA
National Provider Identifier
1235520529
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
720302 Issued in WA
Practice address
307 Percival St NW
Olympia, WA 98502
Phone
(360) 870-5601
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 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 720302 WA Primary

Addresses

Primary practice location

307 Percival St NW
Olympia, WA 98502

Mailing address

307 Percival St NW
Olympia, WA 98502-4933
Phone (360) 870-5601

Other practice location 1

222 Columbia St NW
Olympia, WA 98501-8208
Phone (360) 586-6181 ext. 112

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Olympia

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102001913 WA Practitioner - Registered Dietitian Or Nutrition Professional 8325472178 Practice locations: Olympia, WA; Oakville, WA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Iowa, RJ & L Carver College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

307 Percival St NW
Olympia, WA 98502-4933
Phone (360) 870-5601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
720302WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
True for You Nutrition, LLC Dietitian, Registered CurrentSince Feb 1, 2018 Accepting new patients
Confederated Tribes of the Chehalis Reservation Past Accepting new patients
Senior Services for South Sound Past Accepting new patients

Locations

21 Niederman Rd
Oakville, WA 98568
Phone (360) 273-5504

324 West Bay Dr NW
Olympia, WA 98502

324 West Bay Dr NW
Ste 216
Olympia, WA 98502
Phone (360) 207-4052

Organizations & group practices 3

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1235520529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PERCIVAL ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024933",
            "telephone_number": "360-870-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PERCIVAL ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-870-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Columbia St NW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985018208",
            "country_code": "US",
            "telephone_number": "360-586-6181 x112",
            "fax_number": "360-586-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISSER",
        "first_name": "CATHY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "720302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Olympia",
            "affiliation": "N",
            "address_1": "307 Percival St NW",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.