Individual provider Active NPI

Stephanie Renee Lecovin, MS, RD

  • Nutritionist
  • Kirkland, WA
National Provider Identifier
1538226592
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU00001682 Issued in WA
Practice address
8604 113TH LN NE
Kirkland, WA 98033-5769
Phone
(206) 604-5239
NPI assigned
Jan 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU00001682 WA Primary
Registered Dietitian 133V00000X 944714 WA

Addresses

Primary practice location

8604 113TH LN NE
Kirkland, WA 98033-5769

Mailing address

8604 113TH LN NE
Kirkland, WA 98033-5769
Phone (206) 604-5239

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NU00001682WAMDNutritionist
944714WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1538226592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 113TH LN NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335769",
            "telephone_number": "206-604-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 113TH LN NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335769",
            "telephone_number": "206-604-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECOVIN",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU00001682",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "944714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.