Active NPI
Gretchen Gruender, MS, RD, CSO
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1285927020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D100001650
- Practice address
- 6522 N Fremont Ave
Seattle, WA 98103-5924 - Phone
- (206) 670-0118
- Fax
- (206) 267-0073
- NPI assigned
- May 26, 2011
- 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 | D100001650 | WA | Primary |
Addresses
Primary practice location
6522 N Fremont Ave
Seattle, WA 98103-5924
Mailing address
10016 Edmonds Way, Suite C-171
Edmonds, WA 98020-5924
Phone (206) 670-0118
Other practice location 1
9909 225th Pl SW
Edmonds, WA 98020-5924
Phone (206) 670-0118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 3, 2024 through Jun 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D100001650 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrating Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
6522 Fremont Ave N
Seattle, WA 98103
Phone (206) 717-3939
Organizations & group practices 1
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": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1285927020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10016 EDMONDS WAY, SUITE C-171",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980205924",
"telephone_number": "206-670-0118",
"fax_number": "206-267-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6522 N FREMONT AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981035924",
"telephone_number": "206-670-0118",
"fax_number": "206-267-0073"
}
],
"practiceLocations": [
{
"address_1": "9909 225th Pl SW",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980205924",
"country_code": "US",
"telephone_number": "206-670-0118",
"fax_number": "206-267-0073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUENDER",
"first_name": "GRETCHEN",
"credential": "MS, RD, CSO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "D100001650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.