Active NPI
Cathy Visser, RD
- Registered Dietitian
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 720302
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Olympia |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 720302 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True for You Nutrition, LLC | Dietitian, Registered | Current | 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.
-
- Clinic/Center
- Oakville, WA
- NPI 1346383379
-
- Adult Day Care Clinic/Center
- Olympia, WA
- NPI 1083005367
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.