Individual provider Active NPI

Kelly Badger Morrow, MS, RDN, FAND

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1811050222
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001594 Issued in WA
Practice address
2111 N Northgate Way Ste 221
Seattle, WA 98133-9018
Phone
(206) 525-8012
Fax
(206) 525-8013
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 DI00001594 WA Primary

Addresses

Primary practice location

2111 N Northgate Way Ste 221
Seattle, WA 98133-9018

Mailing address

PO Box 84909
Seattle, WA 98124-6209
Phone (206) 834-4100

Other practice location 1

3670 Stone Way N Ste N271
Seattle, WA 98103-8004
Phone (206) 834-4100

Other identifiers 1

IdentifierTypeStateIssuer
7601040MedicaidWA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge Medical, Inc. PastSince Aug 7, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelly.morrow@196799968772100.direct.elationemr.com

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1811050222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84909",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246209",
            "telephone_number": "206-834-4100",
            "fax_number": "206-834-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY STE 221",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339018",
            "telephone_number": "206-525-8012",
            "fax_number": "206-525-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3670 Stone Way N Ste N271",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038004",
            "country_code": "US",
            "telephone_number": "206-834-4100",
            "fax_number": "206-834-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORROW",
        "first_name": "KELLY",
        "middle_name": "BADGER",
        "credential": "MS, RDN, FAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601040",
            "state": "WA"
        }
    ],
    "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 Aug 1, 2022; 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.