Active NPI
Olivia Renee Love, RD
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1740754928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60919441
- Practice address
- 4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762 - Phone
- (360) 230-8202
- Fax
- (360) 682-3732
- NPI assigned
- Jan 22, 2019
- 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 | DI60919441 | WA | Primary |
Addresses
Primary practice location
4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762
Mailing address
12 Bellwether Way
Bellingham, WA 98225-2959
Phone (360) 230-8202
Other practice location 1
12 Bellwether Way Ste 223
Bellingham, WA 98225-2914
Phone (360) 230-8202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016264 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230113001226 | WA | Practitioner - Registered Dietitian Or Nutrition Professional | 5799156519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition With Heart LLC | Dietitian, Registered | Current | Accepting new patients |
| Sound Dietitians LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
221 4th Ave N
Edmonds, WA 98020
Phone (425) 697-2100
Organizations & group practices 2
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": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1740754928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BELLWETHER WAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252959",
"telephone_number": "360-230-8202",
"fax_number": "360-682-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 9TH AVE NE STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054762",
"telephone_number": "360-230-8202",
"fax_number": "360-682-3732"
}
],
"practiceLocations": [
{
"address_1": "12 Bellwether Way Ste 223",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982252914",
"country_code": "US",
"telephone_number": "360-230-8202",
"fax_number": "360-682-3732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "OLIVIA",
"middle_name": "RENEE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60919441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016264",
"state": "WA"
}
],
"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 Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.