Individual provider Active NPI

Pamela Malo

  • Registered Dietitian
  • Bainbridge Island, WA
National Provider Identifier
1639721046
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
345 Knechtel Way NE Ste 111
Bainbridge Island, WA 98110-2834
Phone
(518) 339-2593
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT89445 TX
Registered Dietitian 133V00000X DI60736151 WA
Registered Dietitian 133V00000X VA
Registered Dietitian 133V00000X L0077944 NC
Registered Dietitian 133V00000X ND13141 FL
Registered Dietitian 133V00000X AZ
Registered Dietitian 133V00000X LD006943 GA
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

345 Knechtel Way NE Ste 111
Bainbridge Island, WA 98110-2834

Mailing address

271 Winslow Way E Unit 10295
Bainbridge Island, WA 98110-9968

Other practice location 1

200 Perimeter Park Dr Ste C
Morrisville, NC 27560-9714
Phone (206) 895-4292

Other practice location 2

828 Healthy Way Ste 330
Virginia Beach, VA 23462-7959
Phone (206) 895-4292

Other practice location 3

6100 Harris Pkwy Ste 140
Fort Worth, TX 76132-4130
Phone (206) 895-4292

Other practice location 4

655 E River Rd Unit 201
Tucson, AZ 85704-5853
Phone (206) 895-4292

Other practice location 5

5323 4th Avenue Cir E
Bradenton, FL 34208-5623
Phone (206) 895-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, NC, VA, TX, SC, MI7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20240912002710 AZ Practitioner - Registered Dietitian Or Nutrition Professional 2860932191 Reassigns benefits to 1 organization
I20241002002143 FL Practitioner - Registered Dietitian Or Nutrition Professional 2860932191 Reassigns benefits to 1 organization
I20241118002228 NC Practitioner - Registered Dietitian Or Nutrition Professional 2860932191 Reassigns benefits to 1 organization
I20250523002199 VA Practitioner - Registered Dietitian Or Nutrition Professional 2860932191 Reassigns benefits to 1 organization
I20250530000266 TX Practitioner - Registered Dietitian Or Nutrition Professional 2860932191 Reassigns benefits to 1 organization
I20250815001643 SC Practitioner - Registered Dietitian Or Nutrition Professional 2860932191 Reassigns benefits to 1 organization
I20260224000514 MI Practitioner - Registered Dietitian Or Nutrition Professional 2860932191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

1806 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 768-3632

200 Perimeter Park Dr
Suite C
Morrisville, NC 27560-9714
Phone (919) 589-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND13141FLMDRegistered Dietitian
LD006943GAMDRegistered Dietitian
L0077944NCMDRegistered Dietitian
DT89445TXMDRegistered Dietitian
DI60736151WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Sep 1, 2024 Accepting new patients
Uwh of the Carolinas, PLLC CurrentSince Sep 30, 2024 Accepting new patients
Pamela Malo PLLC Dietitian, Registered CurrentSince Jan 28, 2024 Accepting new patients
Genesis OB GYN PLLC CurrentSince Sep 30, 2024 Accepting new patients
Uwh of Michigan PLC CurrentSince Dec 30, 2025 Accepting new patients
Unified Women's Healthcare of Texas PLLC CurrentSince Apr 1, 2025 Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince May 16, 2025 Accepting new patients
Metro Partners in Womens Health, PC Past Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

6261 N La Cholla Blvd
Ste 277
Tucson, AZ 85741
Phone (520) 694-6800

655 E River Rd
Unit 201
Tucson, AZ 85704
Phone (206) 895-4292

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

5323 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 745-5115

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000

200 Perimeter Park Dr
Ste C
Morrisville, NC 27560
Phone (206) 895-4292

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

5801 Postal Rd
Unit 81847
Cleveland, OH 44181
Phone (561) 849-3534

1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700

1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415

6100 Harris Pkwy
Ste 140
Ft Worth, TX 76132
Phone (206) 895-4292

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

271 Winslow Way E
Unit 10295
Bainbridge Island, WA 98110

345 Knechtel Way NE
Ste 111
Seattle, WA 98110
Phone (206) 720-6155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1639721046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WINSLOW WAY E UNIT 10295",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981109968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE STE 111",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102834",
            "telephone_number": "518-339-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Perimeter Park Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275609714",
            "country_code": "US",
            "telephone_number": "206-895-4292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "828 Healthy Way Ste 330",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234627959",
            "country_code": "US",
            "telephone_number": "206-895-4292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Harris Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761324130",
            "country_code": "US",
            "telephone_number": "206-895-4292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 E River Rd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857045853",
            "country_code": "US",
            "telephone_number": "206-895-4292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 4th Avenue Cir E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342085623",
            "country_code": "US",
            "telephone_number": "206-895-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALO",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89445",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60736151",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L0077944",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND13141",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD006943",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.