Individual provider Active NPI

Megan Marie Ellison, MS, RD, CDE

  • Registered Dietitian
  • Lynnwood, WA
National Provider Identifier
1588968648
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI 60178596 Issued in WA
Practice address
3203 206TH PL SW
Lynnwood, WA 98036-7817
Phone
(206) 914-1904
Fax
(425) 354-3544
NPI assigned
Jan 4, 2011
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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 DI 60178596 WA Primary

Addresses

Primary practice location

3203 206TH PL SW
Lynnwood, WA 98036-7817

Mailing address

3203 206TH PL SW
Lynnwood, WA 98036-7817
Phone (206) 914-1904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731000469 WA Practitioner - Registered Dietitian Or Nutrition Professional 6406072958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Dietitians LLCGroup PAC ID 0042436594, 2 clinicians

Practice addresses (Care Compare)

11019 Canyon Rd E
Suite a
Puyallup, WA 98373-3001
Phone (425) 409-3455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI 60178596WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Dietitians LLC Dietitian, Registered CurrentSince Jun 20, 2014 Accepting new patients

Locations

4423 S 3rd Ave
Everett, WA 98203
Phone (425) 315-2505

11019 Canyon Rd E
Ste A
Puyallup, WA 98373
Phone (253) 537-0293

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1588968648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 206TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367817",
            "telephone_number": "206-914-1904",
            "fax_number": "425-354-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 206TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367817",
            "telephone_number": "206-914-1904",
            "fax_number": "425-354-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60178596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.