Judith Lynne Willis, MPH RD CD CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

727126 Issued in WA

Practice address

1114 Ellis St
Bellingham, WA 98225-5204

Phone

(360) 510-5075

NPI assigned

Dec 12, 2006

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Judith Lynne Willis Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifestylerx Florida PAGroup PAC ID 2365884442, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifestylerx Florida, P.a.

  dba LifestyleRx

  • Family Medicine Physician
  • Cambridge, MA
  • NPI 1376312991

  Dietitian, Registered, WA

  Medicare reassignment Care Compare group NPD
• Lifestylerx California PC

  dba LifestyleRx

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1972351617
  NPD
• Inspired Wellness, PLLC

  • Family Medicine Physician
  • Oak Harbor, WA
  • NPI 1053110452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1821159039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 UNIVERSITY RD STE 5",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385815",
            "telephone_number": "617-420-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255204",
            "telephone_number": "360-510-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JUDITH",
        "middle_name": "LYNNE",
        "credential": "MPH RD CD CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001288",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "727126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "WILLIS",
            "middle_name": "LYNNE",
            "credential": "MPH RD CD CDCES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paris Doreen Williams, CPC
• Sidney M Williams, DDS
• Leah Irene Williamson, LMP
• Arnie Willis
• Jessica Ann Willis, LMP
• Ramona (Mona) Willis, LMP
• Ryan Willis, ARNP
• Sage Willis, PHD
• Susan G Willis, ARNP
• Timothy Ronald Willmore, PHARMD

• Registered Dietitian in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.