Individual provider Active NPI

Mikalah A Barem, RDN

  • Registered Dietitian
  • Spokane, WA
National Provider Identifier
1740952050
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI61197617 Issued in WA
Practice address
2020 E 29TH Ave Ste 200
Spokane, WA 99203-3948
Phone
(888) 364-5977
Fax
(509) 252-1367
NPI assigned
Oct 5, 2021
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DI61197617 WA
Registered Dietitian 133V00000X LD-D-10257565 OR
Registered Dietitian 133V00000X DI61197617 WA Primary

Addresses

Primary practice location

2020 E 29TH Ave Ste 200
Spokane, WA 99203-3948

Mailing address

1295 Bandana Blvd
W Ste 210
St. Paul, MN 55108
Phone (651) 645-5323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420000145 WA Practitioner - Registered Dietitian Or Nutrition Professional 8527455633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD-D-10257565ORMDRegistered Dietitian
DI61197617WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program PC CurrentSince Jan 11, 2022 Accepting new patients
Mikalah Barem Nutrition LLC Current Accepting new patients
Emily Program P C CurrentSince Jan 11, 2022 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

673 Woodland Square Loop SE
Ste 330
Olympia, WA 98503
Phone (415) 710-6689

1700 Westlake Ave N
Ste 700
Seattle, WA 98109
Phone (206) 283-2220

2020 E 29th Ave
Ste 200
Spokane, WA 99203
Phone (509) 252-1366

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1740952050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BANDANA BLVD",
            "address_2": "W STE 210",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55108",
            "telephone_number": "651-645-5323",
            "fax_number": "844-358-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 29TH AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033948",
            "telephone_number": "888-364-5977",
            "fax_number": "509-252-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREM",
        "first_name": "MIKALAH",
        "middle_name": "A",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "DI61197617",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10257565",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61197617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.

Verify at the official NPI Registry.