Individual provider Active NPI

Erin Cazel

  • Registered Dietitian
  • Bothell, WA
National Provider Identifier
1801614607
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI61607646 Issued in WA
Practice address
19021 120TH Ave NE Ste 102
Bothell, WA 98011-9511
Phone
(425) 486-7710
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI61607646 WA Primary

Addresses

Primary practice location

19021 120TH Ave NE Ste 102
Bothell, WA 98011-9511

Mailing address

14542 75TH Ave NE
Kenmore, WA 98028-4931
Phone (773) 653-0614

Other practice location 1

14542 75th Ave NE
Kenmore, WA 98028-4931
Phone (773) 653-0614

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI61607646WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Therapy of Woodinville CurrentSince Oct 6, 2024 Accepting new patients

Locations

19021 120th Ave NE
Ste 102
Bothell, WA 98011
Phone (425) 486-7710

Organizations & group practices 1

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1801614607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14542 75TH AVE NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284931",
            "telephone_number": "773-653-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19021 120TH AVE NE STE 102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119511",
            "telephone_number": "425-486-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14542 75th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "WA",
            "postal_code": "980284931",
            "country_code": "US",
            "telephone_number": "773-653-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAZEL",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61607646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.