Individual provider Active NPI

Mary Whitney Thomas, R.D., C.D.E

  • Registered Dietitian
  • Bellevue, WA
National Provider Identifier
1477004661
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
60675601 Issued in WA
Practice address
13231 SE 36TH St Ste 110
Bellevue, WA 98006-7321
Phone
(206) 520-5000
NPI assigned
Oct 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 60675601 WA
Registered Dietitian 133V00000X 60675601 WA Primary

Addresses

Primary practice location

13231 SE 36TH St Ste 110
Bellevue, WA 98006-7321

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5000

Other identifiers 1

IdentifierTypeStateIssuer
2069376MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128002581 WA Practitioner - Registered Dietitian Or Nutrition Professional 1052690542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1355 N 205TH St
Shoreline, WA 98133-3215
Phone (206) 542-5656

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60675601WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Nov 1, 2016 Accepting new patients
Association of University Physicians PastSince Nov 1, 2016 Accepting new patients

Locations

13231 SE 36th St
Ste 110
Bellevue, WA 98006
Phone (425) 957-9000

24360 Van Ry Blvd
Ste 111
Mountlake Terrace, WA 98043
Phone (425) 275-5555

4915 25th Ave NE
Ste 300W
Seattle, WA 98105
Phone (206) 520-1606

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1355 N 205th St
Shoreline, WA 98133
Phone (206) 520-1854

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": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1477004661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13231 SE 36TH ST STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980067321",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY",
        "middle_name": "WHITNEY",
        "credential": "R.D., C.D.E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "60675601",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60675601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069376",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.