Active NPI
Andrea Lynn Marchel, RD,CD
- Registered Dietitian
- Des Moines, WA
National Provider Identifier
1609941541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 22019 13TH Ave S
Des Moines, WA 98198 - Phone
- (206) 824-2380
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | WA | Primary |
Addresses
Primary practice location
22019 13TH Ave S
Des Moines, WA 98198
Mailing address
22019 13TH Ave S
Des Moines, WA 98198-4546
Phone (206) 824-2380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8396434 | Medicaid | WA |
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 |
|---|---|---|---|
| D100000832 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609941541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22019 13TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981984546",
"telephone_number": "206-824-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22019 13TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "98198",
"telephone_number": "206-824-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHEL",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RD,CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8396434",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.