Polly Mary Elizabeth Lenssen, RD, CD, MS

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DI00000333 Issued in WA

Practice address

4800 Sand Point Way NE
M/S W3726
Seattle, WA 98105-3901

Phone

(206) 987-5110

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Mary Elizabeth Polly Lenssen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265544043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 DENSMORE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038240",
            "telephone_number": "206-632-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "M/S W3726",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSSEN",
        "first_name": "POLLY",
        "middle_name": "MARY ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RD, CD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WA",
            "license": "DI00000333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8267129",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ELIZABETH",
            "last_name": "LENSSEN",
            "middle_name": "POLLY",
            "prefix": "MS.",
            "credential": "RD, CD, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catriona Lennstrom
• Stacy Jeanne Lenny, LICSW, CDP, ACHT
• Alyssa Lenox, DC
• Elizabeth Lensky, PHARM D, RPH
• Michal Robert Lensky, RPH
• Gena Christine Lenti, MD
• Renee Y Lenti, LAC
• Gretchen M Lentz
• Lisa Eileen Lentz, LMP RMT
• Michael Ri Hard Lentz, LMP

• Pediatric Nutrition Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Nutrition Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.