Individual provider Active NPI

Shirley Matenda, RD

  • Registered Dietitian
  • Burien, WA
National Provider Identifier
1467987537
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI60727023 Issued in WA
Practice address
16045 1St Ave S FL 2
Burien, WA 98148-1401
Phone
(206) 965-4100
Fax
(206) 965-4278
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DI60727023 WA
Metabolic Nutrition Registered Dietitian 133VN1006X DI60727023 WA
Registered Dietitian 133V00000X DI60727023 WA Primary

Addresses

Primary practice location

16045 1St Ave S FL 2
Burien, WA 98148-1401

Mailing address

505 Broadway E , Seattle, Wa
PMB #228
Seattle, WA 98102
Phone (206) 395-4819

Other practice location 1

505 Broadway E # 228
Seattle, WA 98102-5023
Phone (206) 395-4819

Other identifiers 1

IdentifierTypeStateIssuer
2079868MedicaidWA

Other names 1

  • Shirley Wasswa-Kintu Former name

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

LicenseStateTypeSpecialty
DI60727023WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince May 6, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Mar 15, 2021 Accepting new patients
Multicare Health System CurrentSince May 30, 2017 Accepting new patients
Optum Care Washington PLLC CurrentSince Mar 15, 2021 Accepting new patients
Multicare Health System Dietitian, Registered CurrentSince May 30, 2017 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

16045 1st Ave S
Fl 2
Burien, WA 98148
Phone (206) 965-4200

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 8

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1467987537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BROADWAY E , SEATTLE, WA",
            "address_2": "PMB #228",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98102",
            "telephone_number": "206-395-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-965-4100",
            "fax_number": "206-965-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Broadway E # 228",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981025023",
            "country_code": "US",
            "telephone_number": "206-395-4819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATENDA",
        "first_name": "SHIRLEY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "DI60727023",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WA",
            "license": "DI60727023",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60727023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079868",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "WASSWA-KINTU",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.