Active NPI
Madison Service, RD, CD
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1760029953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86150924
- Practice address
- 3707 Corliss Ave N
Seattle, WA 98103-9116 - Phone
- (913) 909-1757
- NPI assigned
- Dec 6, 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 | 86150924 | Primary |
Addresses
Primary practice location
3707 Corliss Ave N
Seattle, WA 98103-9116
Mailing address
3707 Corliss Ave N
Seattle, WA 98103-9116
Phone (913) 909-1757
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Authority PLLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- madison.service.1@29702.direct.athenahealth.com
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": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1760029953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 CORLISS AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981039116",
"telephone_number": "913-909-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 CORLISS AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981039116",
"telephone_number": "913-909-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVICE",
"first_name": "MADISON",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86150924",
"primary": true
}
],
"identifiers": [],
"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 Dec 6, 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.