Active NPI
Candace Sorden, RDN, CDCES
- Registered Dietitian
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60872078
- Practice address
- 916 Pacific Ave
Everett, WA 98201-4147 - Phone
- (425) 261-2000
- NPI assigned
- Jul 6, 2023
- Last updated
- Jul 6, 2023
- 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 | 60872078 | WA | Primary |
Addresses
Primary practice location
916 Pacific Ave
Everett, WA 98201-4147
Mailing address
6704 Corson Ave S Unit a
Seattle, WA 98108-3449
Phone (641) 344-3694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60872078 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Thrive Health Holdings, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Thrive Health Holdings, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
1145 Broadway
Seattle, WA 98122
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1780362210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6704 CORSON AVE S UNIT A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981083449",
"telephone_number": "641-344-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 PACIFIC AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014147",
"telephone_number": "425-261-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORDEN",
"first_name": "CANDACE",
"credential": "RDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60872078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.