Active NPI
Emily Marie Han, RDN
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1346065026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 61559445
- Practice address
- 4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762 - Phone
- (360) 230-8208
- NPI assigned
- Nov 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1462 | ID | |
| Registered Dietitian | 133V00000X | 61559445 | WA | Primary |
Addresses
Primary practice location
4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762
Mailing address
1713 W Jefferson St Apt 203
Boise, ID 83702-3908
Phone (234) 855-6942
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 |
|---|---|---|---|
| 1462 | ID | MD | Registered Dietitian |
| 61559445 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensibly Sprouted LLC | Dietitian, Registered | Past | 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": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1346065026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 W JEFFERSON ST APT 203",
"city": "BOISE",
"state": "ID",
"postal_code": "837023908",
"telephone_number": "234-855-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 9TH AVE NE STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054762",
"telephone_number": "360-230-8208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "EMILY",
"middle_name": "MARIE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "1462",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "61559445",
"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 Nov 18, 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.