Active NPI
Jessica Lynn Morris, RDN
- Registered Dietitian
- Puyallup, WA
National Provider Identifier
1467014951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60976292
- Practice address
- 1002 39TH Ave SW Ste 200
Puyallup, WA 98373-3813 - Phone
- (855) 328-6543
- NPI assigned
- Jul 3, 2019
- Last updated
- Jul 3, 2019
- 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 | 60976292 | WA | Primary |
Addresses
Primary practice location
1002 39TH Ave SW Ste 200
Puyallup, WA 98373-3813
Mailing address
1728 178TH Street CT E
Spanaway, WA 98387-1952
Phone (757) 951-3637
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 |
|---|---|---|---|
| 60976292 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1467014951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 178TH STREET CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983871952",
"telephone_number": "757-951-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 39TH AVE SW STE 200",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733813",
"telephone_number": "855-328-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60976292",
"primary": true
}
],
"identifiers": [],
"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 Jul 3, 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.