Active NPI
Carita Osterback, RD
- Registered Dietitian
- Bellevue, WA
National Provider Identifier
1346360211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 410790
- Practice address
- 1120 112TH Ave NE Ste 150
Bellevue, WA 98004-4505 - Phone
- (425) 688-5485
- Fax
- (425) 688-5281
- NPI assigned
- Apr 2, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 410790 | WA | Primary |
Addresses
Primary practice location
1120 112TH Ave NE Ste 150
Bellevue, WA 98004-4505
Mailing address
8843 NE 116TH PL
Kirkland, WA 98034-6113
Phone (425) 688-5485
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 |
|---|---|---|---|
| 410790 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Center & Clinics | 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.
-
- Psychiatric Hospital Unit
- Bellevue, WA
- NPI 1811904063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346360211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8843 NE 116TH PL",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346113",
"telephone_number": "425-688-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 112TH AVE NE STE 150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044505",
"telephone_number": "425-688-5485",
"fax_number": "425-688-5281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTERBACK",
"first_name": "CARITA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "410790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.