Active NPI
Bridget Ann Nichols, RD
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1356622922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01067726
- Practice address
- 5400 California Ave SW Ste C
Seattle, WA 98136-1501 - Phone
- (206) 391-5479
- NPI assigned
- Sep 8, 2011
- 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 | 01067726 | WA | Primary |
Addresses
Primary practice location
5400 California Ave SW Ste C
Seattle, WA 98136-1501
Mailing address
5016 California Ave SW Apt 401
Seattle, WA 98136-1281
Phone (206) 391-5479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DI 60337149 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067726 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1356622922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5016 CALIFORNIA AVE SW APT 401",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361281",
"telephone_number": "206-391-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 CALIFORNIA AVE SW STE C",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361501",
"telephone_number": "206-391-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "BRIDGET",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "01067726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "DI 60337149",
"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 Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.