Anita C Bermann, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60600262 Issued in WA

Practice address

403 Madison Ave N Ste 240
Bainbridge Island, WA 98110-2822

Phone

(206) 913-8715

Fax

(253) 365-6299

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1245608009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 CURTIS LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105100",
            "telephone_number": "206-913-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MADISON AVE N STE 240",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102822",
            "telephone_number": "206-913-8715",
            "fax_number": "253-365-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMANN",
        "first_name": "ANITA",
        "middle_name": "C",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60600262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH DIETITIAN CERTIFICATION",
            "identifier": "DI60600262",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kathleen Bell, M.S.
• Anne Belmont, LMT
• Marcee Ben-Menachem, M.ED, NBCT, LMHCA
• Sonya Bennett, LMT
• Teresa Louise Bentley, M.S., LMFT
• Claire Beukes, PTA
• Amy Biondo, PMHNP-BC
• Brynn Blanchard
• Michele C. Bombardier, MA, CCC-SLP
• Elizabeth Mae Bonghi

• Registered Dietitian in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.