Active NPI
Joanna Gilbert
- Registered Dietitian
- Issaquah, WA
National Provider Identifier
1730627746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60689329
- Practice address
- 805 Mt Park Blvd SW
Issaquah, WA 98027-4006 - Phone
- (206) 658-3633
- NPI assigned
- Feb 9, 2017
- 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 | DI60689329 | WA | Primary |
Addresses
Primary practice location
805 Mt Park Blvd SW
Issaquah, WA 98027-4006
Mailing address
4053 324TH Ave SE
Fall City, WA 98024-8721
Phone (206) 658-3633
Other practice location 1
12040 NE 128th St
Kirkland, WA 98034-3013
Phone (425) 899-1000
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 |
|---|---|---|---|
| DI60689329 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamnw | Dietitian, Registered | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1730627746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4053 324TH AVE SE",
"city": "FALL CITY",
"state": "WA",
"postal_code": "980248721",
"telephone_number": "206-658-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MT PARK BLVD SW",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980274006",
"telephone_number": "206-658-3633"
}
],
"practiceLocations": [
{
"address_1": "12040 NE 128th St",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980343013",
"country_code": "US",
"telephone_number": "425-899-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILBERT",
"first_name": "JOANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60689329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.