Travis Michael King, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60626588 Issued in WA

Practice address

1207 N Landing Way # 1051
Renton, WA 98057-5521

Phone

(206) 657-7133

NPI assigned

Apr 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1649833369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N LANDING WAY # 1051",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575521",
            "telephone_number": "206-657-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N LANDING WAY # 1051",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575521",
            "telephone_number": "206-657-7133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3912 10th St SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742188",
            "country_code": "US",
            "telephone_number": "253-848-4700",
            "fax_number": "253-848-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TRAVIS",
        "middle_name": "MICHAEL",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60626588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah M King, MSW
• Joseph Walter King, MD
• Kirk E King, DDS
• Kristine Michelle King, M.D.
• Kyla King
• Kingdom Care Essential
• Marizel Babasa Kinimaka, M.S CCC-SLP
• Lynn M Kinnison, CRNA
• Christopher R Kinsella Jr., MD
• Alex Joseph Kipp, MD, MALS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.