Active NPI
Jarreau E Gardner, MS, RD, CN
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1659531432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NU00001734
- Practice address
- 8266 Lake City Way NE
Suite 3
Seattle, WA 98115-4475 - Phone
- (206) 226-2013
- NPI assigned
- Jun 14, 2008
- 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 | NU00001734 | WA | Primary |
Addresses
Primary practice location
8266 Lake City Way NE
Suite 3
Seattle, WA 98115-4475
Mailing address
801 Rainier Ave N Unit C315
Renton, WA 98057-5396
Phone (206) 226-2013
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NU00001734 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213401600000",
"number": "1659531432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 RAINIER AVE N UNIT C315",
"city": "RENTON",
"state": "WA",
"postal_code": "980575396",
"telephone_number": "206-226-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8266 LAKE CITY WAY NE",
"address_2": "SUITE 3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981154475",
"telephone_number": "206-226-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JARREAU",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MS, RD, CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-14",
"last_updated": "2008-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "NU00001734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.