Individual provider Active NPI

Geanna N Revell, RDN, CD

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1447809199
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI86063858 Issued in WA
Practice address
2863 W Government Way
Seattle, WA 98199-1420
Phone
(503) 730-8089
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 DI86063858 WA Primary

Addresses

Primary practice location

2863 W Government Way
Seattle, WA 98199-1420

Mailing address

2863 W Government Way
Seattle, WA 98199-1420

Other names 1

  • Geanna Marek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102000458 WA Practitioner - Registered Dietitian Or Nutrition Professional 0840624763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI86063858WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Nutrition LLC Dietitian, Registered CurrentSince Nov 1, 2019 Accepting new patients
Geanna Revell Nutrition Dietitian, Registered CurrentSince Sep 28, 2025 Accepting new patients

Locations

7220 Linden Ave N
Seattle, WA 98103
Phone (206) 799-7010

4400 NE 77th Ave
Ste 275
Vancouver, WA 98662
Phone (206) 799-7010

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.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1447809199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 W GOVERNMENT WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 W GOVERNMENT WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991420",
            "telephone_number": "503-730-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELL",
        "first_name": "GEANNA",
        "middle_name": "N",
        "credential": "RDN, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI86063858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEANNA",
            "last_name": "MAREK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 29, 2025; 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.