Jan Kincaid Rystrom, R.D., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60098525 Issued in WA

Practice address

1124 Columbia St Ste 400
Seattle, WA 98104-2053

Phone

(206) 215-2440

Fax

(206) 215-2457

NPI assigned

Mar 11, 2009

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

87.1 of 100Reported as group

Quality

84.53

Promoting interoperability

100

Improvement activities

40

Cost

72.46

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cammacks Pharmacies Inc

  dba Cammacks Clinical Services

  • Family Medicine Physician
  • Port Angeles, WA
  • NPI 1255950432
  NPD
• Cammacks Pharmacies Inc

  dba Jims Pharmacy and Home Health

  • Community/Retail Pharmacy
  • Port Angeles, WA
  • NPI 1548205776
  NPD

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679714281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042053",
            "telephone_number": "206-215-2440",
            "fax_number": "206-215-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2726 St Clair Pl",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982266132",
            "country_code": "US",
            "telephone_number": "360-303-5904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2726 St Clair Pl",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982266132",
            "country_code": "US",
            "telephone_number": "360-303-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYSTROM",
        "first_name": "JAN",
        "middle_name": "KINCAID",
        "credential": "R.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60098525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulia V Rylkova, LMP
• Edward K Rynearson, MD
• Richard L. Rysdam, DO
• Cristina Zappoli Ryser, PA
• Chanel Ryssel, MSW
• Ryther
• Ryther
• Ryther
• Catherine Ryu, PHARM.D.
• Jessica Ryu

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.