Active NPI
Mary B. Law, RD
- Registered Dietitian
- Bothell, WA
National Provider Identifier
1720156565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 10808 NE 145TH St
Bothell, WA 98011-5200 - Phone
- (206) 296-9813
- NPI assigned
- Dec 1, 2006
- 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 | Primary |
Addresses
Primary practice location
10808 NE 145TH St
Bothell, WA 98011-5200
Mailing address
9625 24TH Ave NW
Seattle, WA 98117-2504
Phone (206) 706-0456
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887767 | Other | WA | CDR LICENSE |
| 8270092 | Medicaid | WA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720156565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9625 24TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981172504",
"telephone_number": "206-706-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10808 NE 145TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980115200",
"telephone_number": "206-296-9813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "MARY",
"middle_name": "B.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR LICENSE",
"identifier": "887767",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8270092",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.