Active NPI
Jennifer T Okemah, MS, RD, CD, BC-ADM
- Registered Dietitian
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001847
- Practice address
- 11335 NE 122ND Way Ste 105205
Kirkland, WA 98034 - Phone
- (425) 285-5877
- NPI assigned
- Jul 31, 2006
- 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 | DI00001847 | WA | Primary |
Addresses
Primary practice location
11335 NE 122ND Way Ste 105205
Kirkland, WA 98034
Mailing address
9727 NE Juanita Dr Apt 205
Kirkland, WA 98034-4259
Phone (425) 299-8774
Other practice location 1
14701 179th Ave SE
Monroe, WA 98272-1108
Phone (360) 794-1447 ext. 370
Other practice location 2
9727 NE Juanita Dr Apt 205
Kirkland, WA 98034
Phone (425) 299-8774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8457848 | Medicaid | WA | |
| DI00001847 | Other | 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16825 48TH Ave W
Suite 210
Lynnwood, WA 98037-6404
Phone (425) 285-5877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salute Nutrition PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
11335 NE 122nd Way
Ste 105
Kirkland, WA 98034
Phone (206) 899-5479
16825 48th Ave W
Ste 210
Lynnwood, WA 98037
Phone (425) 285-5877
707 S Grady Way
Ste 600
Renton, WA 98057
Phone (206) 257-2987
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": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1669488581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9727 NE JUANITA DR APT 205",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344259",
"telephone_number": "425-299-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11335 NE 122ND WAY STE 105205",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-285-5877"
}
],
"practiceLocations": [
{
"address_1": "14701 179th Ave SE",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "WA",
"postal_code": "982721108",
"country_code": "US",
"telephone_number": "360-794-1447 x370",
"fax_number": "360-805-3453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9727 NE Juanita Dr Apt 205",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "98034",
"country_code": "US",
"telephone_number": "425-299-8774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKEMAH",
"first_name": "JENNIFER",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "MS, RD, CD, BC-ADM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8457848",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "DI00001847",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.