Abigail R Czekaj, RDN, LD

Individual provider Active NPI Obesity and Weight Management Nutrition Registered Dietitian · Covington, WA

NPI 1750145264 · NPPES record last updated Feb 6, 2024

Key facts

NPI
1750145264
Entity type
Individual (NPI type 1)
Primary specialty
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X
License
LD.09006 (OH)
Practice address
17700 SE 272ND St
Covington, WA 98042-4951
Phone
(253) 372-6500
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health System (2,312 clinicians)

Practice addresses (Care Compare)

17700 SE 272ND St
Covington, WA 98042-4951
Phone (253) 372-7030

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240325001707 WA Practitioner - Registered Dietitian Or Nutrition Professional 5698112738 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LD.09006OHMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System Current
since Feb 12, 2024
Accepting new patients
Multicare Health System Current
since Feb 12, 2024
Accepting new patients
Multicare Health System Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X LD.09006 OH Yes

Addresses

Primary practice location

17700 SE 272ND St
Covington, WA 98042-4951

Mailing address

17700 SE 272ND St
Covington, WA 98042-4951
Phone (253) 372-6500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2024.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1750145264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 SE 272ND ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424951",
            "telephone_number": "253-372-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 SE 272ND ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424951",
            "telephone_number": "253-372-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZEKAJ",
        "first_name": "ABIGAIL",
        "middle_name": "R",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "OH",
            "license": "LD.09006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

All providers in Covington, WA · Obesity and Weight Management Nutrition Registered Dietitian in Washington

Sources for this page

Verify at the official NPI Registry.