Active NPI
Tracey K Graber, R.D.
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1477697159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001562
- Practice address
- 904 7TH Ave
Seattle, WA 98104-1132 - Phone
- (206) 329-1760
- NPI assigned
- Feb 16, 2007
- 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 | DI00001562 | WA | Primary |
Addresses
Primary practice location
904 7TH Ave
Seattle, WA 98104-1132
Mailing address
6035 2ND Ave NW
Seattle, WA 98107-2020
Phone (206) 498-7409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8432254 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16825 48TH Ave W
Suite 210
Lynnwood, WA 98037-6404
Phone (425) 285-5877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salute Nutrition PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
11335 NE 122nd Way
Ste 105
Kirkland, WA 98034
Phone (206) 899-5479
16825 48th Ave W
Ste 210
Lynnwood, WA 98037
Phone (425) 285-5877
Organizations & group practices 1
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": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1477697159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 2ND AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981072020",
"telephone_number": "206-498-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 7TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041132",
"telephone_number": "206-329-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABER",
"first_name": "TRACEY",
"middle_name": "K",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8432254",
"state": "WA"
}
],
"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 Mar 7, 2013; 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.