Rachael L Grothen, DIETICIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001071 Issued in WA

Practice address

3600 Lind Ave SW Ste 160
Renton, WA 98057-4934

Phone

(425) 690-3513

Fax

(425) 690-9513

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1508068222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "SUITE 100 ATTN CREDENTIALING",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574970",
            "telephone_number": "425-690-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW STE 160",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574934",
            "telephone_number": "425-690-3513",
            "fax_number": "425-690-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHEN",
        "first_name": "RACHAEL",
        "middle_name": "L",
        "credential": "DIETICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001071",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "DI00001071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037837",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin R Greget, MD
• Toni L Grewing, RN
• Jessica Griesse, OTR/L
• Chelsea Lauren Griffin, SLP
• Shawn Edward Griffin, LMT
• April Grover, MSCP, LMHC
• Alexsandra Grunden
• Andrea E Gruszecki, ND
• Connie S Guan, CHIROPRACTOR
• Guarding Care LLC

• Registered Dietitian in Renton, WA
• Providers in Renton, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.