Active NPI
Patricia Abel Prentice, M.S., R.D.
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1790854149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00000440
- Practice address
- 10501 Meridian Ave N
Seattle, WA 98133-9509 - Phone
- (206) 296-4912
- Fax
- (206) 205-3362
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 8, 2007
- 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 | DI00000440 | WA | Primary |
Addresses
Primary practice location
10501 Meridian Ave N
Seattle, WA 98133-9509
Mailing address
12712 Admiralty Way
C203
Everett, WA 98204-5562
Phone (425) 438-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8270183 | Medicaid | WA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00000440 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790854149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12712 ADMIRALTY WAY",
"address_2": "C203",
"city": "EVERETT",
"state": "WA",
"postal_code": "982045562",
"telephone_number": "425-438-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 MERIDIAN AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339509",
"telephone_number": "206-296-4912",
"fax_number": "206-205-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTICE",
"first_name": "PATRICIA",
"middle_name": "ABEL",
"name_prefix": "Ms.",
"credential": "M.S., R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00000440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8270183",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Premise Health of Washington Medical PC (Google Wellness Center)
- Premise Health of Washington Medical PC (Google Wellness Center)
- Premise Health of Washington Medical, P.C (Google Wellness Center)
- Kaleigh Kathleen Prendergast, PA-C
- Kristen Prentice, MSW, CDP
- Kathleen Anne Preppernau, M.S.W.
- Presbyterian Counseling Service (Samaritan Center of Puget Sound)
- Presbyterian Retirement Communities Northwest (Skyline at First Hill)
- Presbyterian Retirement Communities Northwest (Park Shore)
- Chelsea Marie Prescott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.