Individual provider Active NPI

Linden Hale, MS, RD

  • Registered Dietitian
  • Bonney Lake, WA
National Provider Identifier
1376243071
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI61163052 Issued in WA
Practice address
13907 Big Sky Dr E
Bonney Lake, WA 98391-5525
Phone
(253) 528-4979
Fax
(253) 528-4979
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI61163052 WA Primary

Addresses

Primary practice location

13907 Big Sky Dr E
Bonney Lake, WA 98391-5525

Mailing address

1712 6TH Ave
Suite 100 PMB 1190
Tacoma, WA 98405-3300
Phone (253) 528-4979

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

LicenseStateTypeSpecialty
DI61163052WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Linden Hale Nutrition LLC CurrentSince Feb 18, 2024 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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1376243071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 6TH AVE",
            "address_2": "SUITE 100 PMB 1190",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053300",
            "telephone_number": "253-528-4979",
            "fax_number": "253-528-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 BIG SKY DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915525",
            "telephone_number": "253-528-4979",
            "fax_number": "253-528-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "LINDEN",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61163052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.