Active NPI
Jessica Bluto, RD
- Registered Dietitian
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1139
- Practice address
- 1909 214TH St SE Ste 211
Bothell, WA 98021 - Phone
- (425) 791-3087
- Fax
- (425) 791-3088
- NPI assigned
- Apr 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 1139 | ME | Primary |
Addresses
Primary practice location
1909 214TH St SE Ste 211
Bothell, WA 98021
Mailing address
1909 214TH St SE Ste 211
Bothell, WA 98021-4418
Phone (425) 791-3087
Other practice location 1
15 Rye St Ste 305
Portsmouth, NH 03801-6846
Phone (857) 304-0594
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0851 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 221 | WY | MD | Clinical Social Worker |
| 1139 | ME | MD | Emergency Medicine Physician |
| 1104 | WV | MD | Physical Therapy Assistant |
| 1710 | AR | MD | Speech-Language Pathologist |
| 2224 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Life Line Community Healthcare | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients |
Locations
400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509
309 Court Ave
Ste 200
Des Moines, IA 50309
Phone (507) 848-5140
1340 Poydras St
Ste 2000
New Orleans, LA 70112
625 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (231) 519-8300
3970 Post Rd
Warwick, RI 02886
Phone (216) 377-4179
1909 214th St SE
Ste 211
Bothell, WA 98021
Phone (425) 248-2626
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
4404 80th St NE
Marysville, WA 98270
Phone (360) 659-1231
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Everett, WA
- NPI 1396413803
-
- Infectious Disease Physician
- Everett, WA
- NPI 1427816305
-
- Endocrinology, Diabetes & Metabolism Physician
- Mukilteo, WA
- NPI 1902024300
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
-
- Community Health Worker
- Independence, OH
- NPI 1598193062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1457761678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 214TH ST SE STE 211",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980214418",
"telephone_number": "425-791-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 214TH ST SE STE 211",
"city": "BOTHELL",
"state": "WA",
"postal_code": "98021",
"telephone_number": "425-791-3087",
"fax_number": "425-791-3088"
}
],
"practiceLocations": [
{
"address_1": "15 Rye St Ste 305",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038016846",
"country_code": "US",
"telephone_number": "857-304-0594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUTO",
"first_name": "JESSICA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "1139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.