Individual provider Active NPI

Eva S Melik, RDN

  • Registered Dietitian
  • Bellingham, WA
National Provider Identifier
1518634773
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
12 Bellwether Way Ste 223
Bellingham, WA 98225-2914
Phone
(360) 739-1278
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

12 Bellwether Way Ste 223
Bellingham, WA 98225-2914

Mailing address

12 Bellwether Way Ste 223
Bellingham, WA 98225-2914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000400 WA Practitioner - Registered Dietitian Or Nutrition Professional 7911395694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sensibly Sprouted LLC Dietitian, Registered CurrentSince Oct 1, 2021 Accepting new patients

Locations

16404 Smokey Point Blvd
Ste 308
Arlington, WA 98223
Phone (360) 230-8202

12 Bellwether Way
Ste 223
Bellingham, WA 98225
Phone (360) 230-8202

12 Bellwether Way
Ste 201
Bellingham, WA 98225
Phone (360) 366-4216

4500 9th Ave NE
Ste 300
Seattle, WA 98105
Phone (206) 234-6932

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1518634773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY STE 223",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY STE 223",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252914",
            "telephone_number": "360-739-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIK",
        "first_name": "EVA",
        "middle_name": "S",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.