Active NPI
Jennifer L Berdinka
- Registered Dietitian
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001661
- Practice address
- 2901 Squalicum Parkway
Bellingham, WA 98225 - Phone
- (360) 734-5400
- Fax
- (360) 756-3552
- NPI assigned
- Sep 4, 2008
- 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 | DI00001661 | WA | Primary |
Addresses
Primary practice location
2901 Squalicum Parkway
Bellingham, WA 98225
Mailing address
2901 Squalicum Parkway
Bellingham, WA 98225
Phone (360) 734-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DI00001661 | Other | WA | WA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12 Bellwether Way
Suite 223
Bellingham, WA 98225-2914
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001661 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| Peacehealth | Dietitian, Registered | Past | Accepting new patients |
Locations
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
4465 Cordata Pkwy
Ste B
Bellingham, WA 98226
Phone (360) 752-5206
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
4545 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 752-5646
Organizations & group practices 4
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.
-
- Registered Dietitian
- Bellingham, WA
- NPI 1700368420
-
- Internal Medicine Physician
- Bellingham, WA
- NPI 1356309553
-
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1649428434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 SQUALICUM PARKWAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-734-5400",
"fax_number": "360-756-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 SQUALICUM PARKWAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-734-5400",
"fax_number": "360-756-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDINKA",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LICENSE",
"identifier": "DI00001661",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.