Active NPI
Nila Norine Williamson, MPH, RD, CD, IBCLC
- Pediatric Nutrition Registered Dietitian
- Olympia, WA
National Provider Identifier
1265752018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- DI 60043903
- Practice address
- 3434 12TH Ave NE
Olympia, WA 98506-5175 - Phone
- (360) 413-8470
- Fax
- (360) 419-5660
- NPI assigned
- Jun 3, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-15637 | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DI 60043903 | WA | Primary |
Addresses
Primary practice location
3434 12TH Ave NE
Olympia, WA 98506-5175
Mailing address
323 Maple Park Ave SE
Olympia, WA 98501-2360
Phone (360) 449-6791
Other practice location 1
120 State Ave NE # 265
Olympia, WA 98501-1131
Phone (360) 499-6791
Other names 1
- Nila Norine Gregory
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 |
|---|---|---|---|
| DI 60043903 | WA | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nila Williamson Nutrition PLLC | Nutrition, Pediatric | Current | Accepting new patients |
| Westbound Speech Therapy PLLC | Past | Accepting new patients |
Locations
120 State Ave NE
Olympia, WA 98501
Phone (360) 352-5581
Organizations & group practices 2
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.
-
- Pediatric Nutrition Registered Dietitian
- Olympia, WA
- NPI 1215749791
Nutrition, Pediatric
-
- Speech-Language Pathologist
- Olympia, WA
- NPI 1871294249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1265752018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 MAPLE PARK AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012360",
"telephone_number": "360-449-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 12TH AVE NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065175",
"telephone_number": "360-413-8470",
"fax_number": "360-419-5660"
}
],
"practiceLocations": [
{
"address_1": "120 State Ave NE # 265",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985011131",
"country_code": "US",
"telephone_number": "360-499-6791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "NILA",
"middle_name": "NORINE",
"credential": "MPH, RD, CD, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "L-15637",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "WA",
"license": "DI 60043903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NILA",
"last_name": "GREGORY",
"middle_name": "NORINE",
"code": "1",
"type": "Former Name"
}
]
}
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 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.