Active NPI
Bethany Chapman
- Registered Dietitian
- Olympia, WA
National Provider Identifier
1730716069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61140647
- Practice address
- 4414 John Luhr Rd NE
Olympia, WA 98516-2323 - Phone
- (425) 260-7943
- NPI assigned
- Mar 25, 2020
- Last updated
- Mar 27, 2024
- 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 | DI61140647 | WA | Primary |
Addresses
Primary practice location
4414 John Luhr Rd NE
Olympia, WA 98516-2323
Mailing address
266 Missouri Ave S
Salem, OR 97302-4564
Phone (425) 260-7943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1086145 | Other | COMMISSION ON DIETETIC REGISTRATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI61140647 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1730716069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 MISSOURI AVE S",
"city": "SALEM",
"state": "OR",
"postal_code": "973024564",
"telephone_number": "425-260-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 JOHN LUHR RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985162323",
"telephone_number": "425-260-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "BETHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61140647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "1086145",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.