Individual provider Active NPI

Ofra Duchin, PHD, MPH, RPH, CN

  • Nutritionist
  • Bellevue, WA
National Provider Identifier
1386001709
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU60568576 Issued in WA
Practice address
17127 NE 8TH PL
Bellevue, WA 98008-3701
Phone
(310) 309-0105
NPI assigned
Jan 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU60568576 WA Primary

Addresses

Primary practice location

17127 NE 8TH PL
Bellevue, WA 98008-3701

Mailing address

17127 NE 8TH PL
Bellevue, WA 98008-3701
Phone (310) 309-0105

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
Doctor of Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
NU60568576WAMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1386001709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17127 NE 8TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083701",
            "telephone_number": "310-309-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17127 NE 8TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083701",
            "telephone_number": "310-309-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHIN",
        "first_name": "OFRA",
        "name_prefix": "Dr.",
        "credential": "PHD, MPH, RPH, CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60568576",
            "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 Jan 15, 2016; 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.