Jeannie Lise Belle Castell, RD, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

60629287 Issued in WA

Practice address

4229 Glen Terra Dr SE
Olympia, WA 98503-7165

Phone

(208) 921-4145

NPI assigned

Oct 15, 2020

Last updated

Jan 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dandelion Nutrition LLC

  dba Dandelion Nutrition

  • Registered Dietitian
  • Lacey, WA
  • NPI 1285046292

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1427656925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 GLEN TERRA DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985037165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 GLEN TERRA DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985037165",
            "telephone_number": "208-921-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELL",
        "first_name": "JEANNIE",
        "middle_name": "LISE BELLE",
        "name_prefix": "Miss",
        "credential": "RD, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60629287",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-302017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Casebourn, MA, LMFT
• Catherine Whitney Casey, ARNP
• Charity Lace Ann Cason
• Victoria Bridget Cassis, LMP
• Alexis L Castaneto
• Krystelle Joie Castillo, LPN
• Nisom Andrew Reyes Castillo
• Noel M Castillo, MD
• Dana Vieira Castro, PMHNP-BC
• Cheryl Ruth Cathcart

• Registered Dietitian in Olympia, WA
• Providers in Olympia, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.