Active NPI
Emily Duncan, RDN
- Registered Dietitian
- Tacoma, WA
National Provider Identifier
1588234983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60903622
- Practice address
- 2711 N 21St St
Tacoma, WA 98406-7519 - Phone
- (501) 318-7746
- NPI assigned
- Jun 28, 2021
- Last updated
- Jul 6, 2021
- 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 | 60903622 | WA | Primary |
Addresses
Primary practice location
2711 N 21St St
Tacoma, WA 98406-7519
Mailing address
5305 N Pearl St
Ruston, WA 98407-3215
Phone (501) 318-7746
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 |
|---|---|---|---|
| 60903622 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildheart Nutrition Therapy | Dietitian, Registered | Current | Accepting new patients |
Locations
2711 N 21st St
Tacoma, WA 98406
Phone (253) 453-1147
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1588234983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 N PEARL ST",
"city": "RUSTON",
"state": "WA",
"postal_code": "984073215",
"telephone_number": "501-318-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 N 21ST ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984067519",
"telephone_number": "501-318-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "EMILY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60903622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.