Active NPI
Elizabeth Ann Watanabe, RDN, DC
- Registered Dietitian
- Puyallup, WA
National Provider Identifier
1679778849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61674519
- Practice address
- 2114 5TH Ave NW
Puyallup, WA 98371-5124 - Phone
- (425) 931-1194
- Fax
- (425) 955-6830
- NPI assigned
- Jun 18, 2007
- Last updated
- Jul 25, 2025
- 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 | DI61674519 | WA | Primary |
Addresses
Primary practice location
2114 5TH Ave NW
Puyallup, WA 98371-5124
Mailing address
2114 5TH Ave NW
Puyallup, WA 98371-5124
Phone (425) 931-1194
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI61674519 | WA | MD | Registered Dietitian |
| 124 | AK | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1679778849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 5TH AVE NW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715124",
"telephone_number": "425-931-1194",
"fax_number": "425-955-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 5TH AVE NW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715124",
"telephone_number": "425-931-1194",
"fax_number": "425-955-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATANABE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RDN, DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61674519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
- Washington Dental Corporation, PC (Dentists of Puyallup)
- Washington Dental Corporation, PC (Puyallup Smiles Dentistry)
- Washington Dental Corporation, PC (Puyallup Modern Dentistry)
- Washington Spine and Pain PLLC
- Justin M Washington
- Amanda Renee Watling
- Anna Watson, DPT
- Gracie Annalee Watson
- Jaclyn Watson
- James W Watson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.