Individual provider Active NPI

Justine Violet Meyer, RD

  • Registered Dietitian
  • Vancouver, WA
National Provider Identifier
1487242673
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI61205677 Issued in WA
Practice address
2512 E Evergreen Blvd Unit 399
Vancouver, WA 98661-4323
Phone
(805) 637-2696
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD-D-10217863 OR
Registered Dietitian 133V00000X DI61205677 WA Primary

Addresses

Primary practice location

2512 E Evergreen Blvd Unit 399
Vancouver, WA 98661-4323

Mailing address

2512 E Evergreen Blvd Unit 399
Vancouver, WA 98661-4323
Phone (805) 637-2696

Other identifiers 2

IdentifierTypeStateIssuer
2297586MedicaidWA
500825706MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106000270 WA Practitioner - Registered Dietitian Or Nutrition Professional 8426544834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2512 E Evergreen Blvd
Suite 399
Vancouver, WA 98661-4323

2512 E Evergreen Blvd PMB
Suite 399
Vancouver, WA 98661-4323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD-D-10217863ORMDRegistered Dietitian
DI61205677WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Nutrition Counseling LLC Dietitian, Registered CurrentSince Nov 15, 2025 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

2512 E Evergreen Blvd
Vancouver, WA 98661
Phone (360) 773-8964

101 E 8th St
Ste 110
Vancouver, WA 98660
Phone (253) 349-8292

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1487242673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 E EVERGREEN BLVD UNIT 399",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614323",
            "telephone_number": "805-637-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E EVERGREEN BLVD UNIT 399",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614323",
            "telephone_number": "805-637-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JUSTINE",
        "middle_name": "VIOLET",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10217863",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61205677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297586",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500825706",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, 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.
  • 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.