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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240325001707 | WA | Practitioner - Registered Dietitian Or Nutrition Professional | 5698112738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.09006 | OH | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Covington Orthodontics and Pediatric Dentistry L.L.C.
- Covington Pharmacy Inc
- W. R. Crow
- Danielle Michelle Cullen
- Todd A Curtis
- Daniel Lee DDS PLLC
- Edwardo Romero Daniel
- Shiyana Daniels
- Jamie Davies
- Maricar Deguzman-Abajero
All providers in Covington, WA · Obesity and Weight Management Nutrition Registered Dietitian in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.