Individual provider Active NPI

Sara Mussa, RDN, CD

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1669944245
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
60893111 Issued in WA
Practice address
600 1St Ave # 2081
Seattle, WA 98104-2210
Phone
(206) 710-2440
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 60893111 WA Primary

Addresses

Primary practice location

600 1St Ave # 2081
Seattle, WA 98104-2210

Mailing address

600 1St Ave # 2081
Seattle, WA 98104-2210
Phone (206) 710-2440

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

State licenses

LicenseStateTypeSpecialty
60893111WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1669944245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST AVE # 2081",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042210",
            "telephone_number": "206-710-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1ST AVE # 2081",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042210",
            "telephone_number": "206-710-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSA",
        "first_name": "SARA",
        "credential": "RDN, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60893111",
            "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 Jul 15, 2022; 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.