Active NPI
Mackenzie Rose Schiltz, RDN, CD
- Registered Dietitian
- Issaquah, WA
National Provider Identifier
1740752120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86055578
- Practice address
- 1220 10TH Ave NE
Issaquah, WA 98029-7406 - Phone
- (425) 557-8900
- NPI assigned
- Dec 21, 2018
- 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 | 86055578 | WA | Primary |
Addresses
Primary practice location
1220 10TH Ave NE
Issaquah, WA 98029-7406
Mailing address
1711 27TH LN NE
Issaquah, WA 98029-3653
Phone (425) 890-0702
Other practice location 1
4030 Alderwood Mall Blvd
Lynnwood, WA 98036-6763
Phone (425) 776-0803
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 |
|---|---|---|---|
| 86055578 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1740752120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 27TH LN NE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980293653",
"telephone_number": "425-890-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 10TH AVE NE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980297406",
"telephone_number": "425-557-8900"
}
],
"practiceLocations": [
{
"address_1": "4030 Alderwood Mall Blvd",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980366763",
"country_code": "US",
"telephone_number": "425-776-0803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHILTZ",
"first_name": "MACKENZIE",
"middle_name": "ROSE",
"credential": "RDN, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "86055578",
"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 Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.