Active NPI
Kelly Wolffe, RDN
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1699372912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 223-6729
- Fax
- (206) 223-6472
- NPI assigned
- Oct 9, 2020
- Reactivated
- Nov 18, 2020
- 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 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
311 NE 60TH St
Seattle, WA 98115-6524
Phone (925) 788-7219
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Dietitian, Registered | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Sunrise Nutrition, LLC | Past | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
- Nutritionist
- Seattle, WA
- NPI 1205483286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1699372912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 NE 60TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156524",
"telephone_number": "925-788-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6729",
"fax_number": "206-223-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFFE",
"first_name": "KELLY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"deactivation_date": "2020-10-12",
"reactivation_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": null,
"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 May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.