Active NPI
Hazel Megino Calilung, MS, RD, CD
- Nutritionist
- Seattle, WA
National Provider Identifier
1295862803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DI00001345
- Practice address
- 8915 14TH Ave S
Seattle, WA 98108-4813 - Phone
- (206) 762-0876
- Fax
- (206) 763-1856
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DI00001345 | WA | Primary |
Addresses
Primary practice location
8915 14TH Ave S
Seattle, WA 98108-4813
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-0112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7401961 | Medicaid | WA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001345 | WA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295862803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "206-764-0112",
"fax_number": "206-764-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 14TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981084813",
"telephone_number": "206-762-0876",
"fax_number": "206-763-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALILUNG",
"first_name": "HAZEL",
"middle_name": "MEGINO",
"credential": "MS, RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "DI00001345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7401961",
"state": "WA"
}
],
"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 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.