Individual provider Active NPI

Mariah Lenker, RDN, CD

  • Registered Dietitian
  • Puyallup, WA
National Provider Identifier
1699338525
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
60932749 Issued in WA
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

Updated by the provider on Apr 16, 2019

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 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

Enrollment IDStateProvider typePAC IDDetails
I20190531000531 WA Practitioner - Registered Dietitian Or Nutrition Professional 7315270634 Reassigns benefits to 1 organization

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
Nutrition Authority PLLCGroup PAC ID 9537656749, 4 clinicians

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

LicenseStateTypeSpecialty
60932749WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Authority PLLC Dietitian, Registered CurrentSince Jul 26, 2025 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.

Verify at the official NPI Registry.