Active NPI
Mariah Lenker, RDN, CD
- Registered Dietitian
- Puyallup, WA
National Provider Identifier
1699338525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60932749
- Practice address
- 1002 39TH Ave SW Ste 200
Puyallup, WA 98373-3813 - Phone
- (855) 328-4543
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 60932749 | WA | Primary |
Addresses
Primary practice location
1002 39TH Ave SW Ste 200
Puyallup, WA 98373-3813
Mailing address
3405 Scenic Dr SE
Auburn, WA 98092-6404
Phone (253) 315-5480
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4411 2ND St SW
Suite 5
Puyallup, WA 98373-3726
Phone (253) 227-4899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60932749 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Authority PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
4411 2nd St SW
Ste 5
Puyallup, WA 98373
Phone (253) 227-4899
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": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1699338525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 SCENIC DR SE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980926404",
"telephone_number": "253-315-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 39TH AVE SW STE 200",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733813",
"telephone_number": "855-328-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENKER",
"first_name": "MARIAH",
"credential": "RDN, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60932749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.