Individual provider Active NPI

Mary S Purdy, MS RD

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1457506040
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NU00002024 Issued in WA
Practice address
6300 9TH Ave NE
Ste 200
Seattle, WA 98115-8515
Phone
(206) 632-1997
Fax
(206) 632-1997
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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 NU00002024 WA Primary

Addresses

Primary practice location

6300 9TH Ave NE
Ste 200
Seattle, WA 98115-8515

Mailing address

4005 Latona Ave NE
Seattle, WA 98105-6539
Phone (206) 632-1997

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
NU00002024WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1457506040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 LATONA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056539",
            "telephone_number": "206-632-1997",
            "fax_number": "206-632-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 9TH AVE NE",
            "address_2": "STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158515",
            "telephone_number": "206-632-1997",
            "fax_number": "206-632-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "MARY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MS RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "NU00002024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 24, 2008; 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.