Active NPI
Misty Nason
- Registered Dietitian
- Puyallup, WA
National Provider Identifier
1407047095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001322
- Practice address
- 201 15TH Ave SW
Puyallup, WA 98371-7495 - Phone
- (253) 376-7792
- NPI assigned
- Aug 7, 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 | DI00001322 | WA | Primary |
Addresses
Primary practice location
201 15TH Ave SW
Puyallup, WA 98371-7495
Mailing address
13220 96TH Avenue CT E
Puyallup, WA 98373-5528
Phone (253) 376-7792
Other practice location 1
702 S Hill Park Dr
Ste 105
Puyallup, WA 98373-1426
Phone (253) 445-7523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DI00001322 | Other | WA | WASHINGTON STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2910 S Meridian
Suite 206
Puyallup, WA 98373-1585
Phone (253) 376-7792
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001322 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viva Nutrition Counseling LLC | Dietitian, Registered | Current | Accepting new patients |
| Commonspirit Washington | Past | Accepting new patients |
Locations
2910 S Meridian
Ste 206
Puyallup, WA 98373
Phone (253) 376-7792
Organizations & group practices 2
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.
-
- Registered Dietitian
- Puyallup, WA
- NPI 1982262457
Dietitian, Registered
-
- Community/Retail Pharmacy
- Tacoma, WA
- NPI 1346588548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1407047095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13220 96TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983735528",
"telephone_number": "253-376-7792",
"fax_number": "253-322-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 15TH AVE SW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717495",
"telephone_number": "253-376-7792"
}
],
"practiceLocations": [
{
"address_1": "702 S Hill Park Dr",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983731426",
"country_code": "US",
"telephone_number": "253-445-7523",
"fax_number": "253-426-6014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASON",
"first_name": "MISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE LICENSE NUMBER",
"identifier": "DI00001322",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.