Nicole Perigard, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1049396 Issued in WA

Practice address

8801 14TH Ave S
Seattle, WA 98108-4809

Phone

(206) 764-0502

Fax

(206) 764-0516

NPI assigned

Aug 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Stevens Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1619422193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-764-0502",
            "fax_number": "206-764-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084809",
            "telephone_number": "206-764-0502",
            "fax_number": "206-764-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIGARD",
        "first_name": "NICOLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "1049396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "STEVENS",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Performance Modalities Inc
• Performance Myotherapy NW LLC
• Steven Pergam, MD
• Bruce William Perham, LICSW
• Pericline Wellness, PLLC
• Laura Marie Periman, MD
• Perinatal Support Washington
• Perinatal Treatment Services
• Lou Perini
• Emily Perinovic, PHARMD

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.