Active NPI
Nicole R Lyon, RD, CD, RYT
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1295234292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4239 Evanston Ave N
Seattle, WA 98103-7206 - Phone
- (206) 414-8762
- Fax
- (833) 291-4245
- NPI assigned
- Feb 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4239 Evanston Ave N
Seattle, WA 98103-7206
Mailing address
4239 Evanston Ave N
Seattle, WA 98103-7206
Phone (206) 414-8762
Other practice location 1
600 University St Ste 818
Seattle, WA 98101-4117
Phone (206) 957-3336
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 833-291-4245 | Health Information Exchange (HIE) |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewtrition, LLC | Dietitian, Registered | Current | Accepting new patients |
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": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1295234292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4239 EVANSTON AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037206",
"telephone_number": "206-414-8762",
"fax_number": "833-291-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4239 EVANSTON AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037206",
"telephone_number": "206-414-8762",
"fax_number": "833-291-4245"
}
],
"practiceLocations": [
{
"address_1": "600 University St Ste 818",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981014117",
"country_code": "US",
"telephone_number": "206-957-3336",
"fax_number": "206-957-1349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYON",
"first_name": "NICOLE",
"middle_name": "R",
"credential": "RD, CD, RYT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "833-291-4245",
"affiliation": "N",
"endpointDescription": "Fax number",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4239 Evanston Ave N",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981037206",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.