Active NPI
Kenna Marie Hadden, RD, CD
- Registered Dietitian
- Kent, WA
National Provider Identifier
1487979217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 988193
- Practice address
- 13210 SE 240TH St
Kent, WA 98042-5182 - Phone
- (206) 296-4500
- NPI assigned
- Apr 5, 2010
- 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 | 988193 | WA | Primary |
Addresses
Primary practice location
13210 SE 240TH St
Kent, WA 98042-5182
Mailing address
2300 Benson Rd S Unit B2
Renton, WA 98055-8878
Phone (206) 384-2112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 988193 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1487979217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 BENSON RD S UNIT B2",
"city": "RENTON",
"state": "WA",
"postal_code": "980558878",
"telephone_number": "206-384-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13210 SE 240TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980425182",
"telephone_number": "206-296-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDEN",
"first_name": "KENNA",
"middle_name": "MARIE",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "988193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.