Individual provider Active NPI

Yaowanit Balangue, DI

  • Registered Dietitian
  • Renton, WA
National Provider Identifier
1356486625
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001879 Issued in WA
Practice address
200 S 2ND St
Renton, WA 98057-2011
Phone
(425) 266-7039
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DI00001879 WA
Registered Dietitian 133V00000X DI00001879 WA Primary

Addresses

Primary practice location

200 S 2ND St
Renton, WA 98057-2011

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

4040 S 188th St
Ste 201
Seatac, WA 98188-5070
Phone (206) 277-7200

Other names 1

  • Yaowanit Denwongkul Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ybalangue21762@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000723 WA Practitioner - Registered Dietitian Or Nutrition Professional 7911079587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Apr 5, 2017 Accepting new patients
Healthpoint CurrentSince Apr 5, 2017 Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

400 S 2nd St
Renton, WA 98057
Phone (425) 204-3400

4040 S 188th St
Ste 201
Seatac, WA 98188
Phone (206) 277-7200

12704 76th Ave S
Seattle, WA 98178
Phone (206) 772-2050

13030 Military Rd S
Ste 200
Tukwila, WA 98168
Phone (206) 439-3289

Interoperability endpoints

  • Direct secure messaging: yaowanit.balangue.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: ybalangue21762@healthpoint.direct-ci.com

Organizations & group practices 3

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1356486625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572011",
            "telephone_number": "425-266-7039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 S 188th St",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Seatac",
            "state": "WA",
            "postal_code": "981885070",
            "country_code": "US",
            "telephone_number": "206-277-7200",
            "fax_number": "206-277-7202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALANGUE",
        "first_name": "YAOWANIT",
        "credential": "DI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "DI00001879",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ybalangue21762@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "200 S 2nd St",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YAOWANIT",
            "last_name": "DENWONGKUL",
            "credential": "DI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.