Individual provider Active NPI

Nicole Holt, RD

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1659700433
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1058340 Issued in UT
Practice address
1417 NW 54TH St Ste 204
Seattle, WA 98107-3570
Phone
(206) 962-7166
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1058340 UT Primary
Registered Dietitian 133V00000X 8602438-4901 UT

Addresses

Primary practice location

1417 NW 54TH St Ste 204
Seattle, WA 98107-3570

Mailing address

1417 NW 54TH St Ste 204
Seattle, WA 98107-3570
Phone (206) 962-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2020 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1058340UTMDRegistered Dietitian
8602438-4901UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Honor Nutrition & Counseling, LLC CurrentSince Jul 19, 2020 Accepting new patients

Locations

1417 NW 54th St
Ste 204
Seattle, WA 98107
Phone (206) 962-7166

Organizations & group practices 1

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1659700433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073570",
            "telephone_number": "206-962-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073570",
            "telephone_number": "206-962-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "NICOLE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "1058340",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "8602438-4901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.