Individual provider Active NPI

Laurelee Michaela Misseghers, RD

  • Registered Dietitian
  • Bellevue, WA
National Provider Identifier
1811206196
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NU60108299 Issued in WA
Practice address
14858 Lake Hills Blvd
Bellevue, WA 98007-5809
Phone
(425) 644-2808
Fax
(425) 644-2682
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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 NU60108299 WA Primary

Addresses

Primary practice location

14858 Lake Hills Blvd
Bellevue, WA 98007-5809

Mailing address

14858 Lake Hills Blvd
Bellevue, WA 98007-5809
Phone (425) 644-2808

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

State licenses

LicenseStateTypeSpecialty
NU60108299WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1811206196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14858 LAKE HILLS BLVD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075809",
            "telephone_number": "425-644-2808",
            "fax_number": "425-644-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14858 LAKE HILLS BLVD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075809",
            "telephone_number": "425-644-2808",
            "fax_number": "425-644-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSEGHERS",
        "first_name": "LAURELEE",
        "middle_name": "MICHAELA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "NU60108299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.