Individual provider Active NPI

Jennifer Lisa Shea Bianchi, NDTR

  • Registered Dietetic Technician
  • Snohomish, WA
National Provider Identifier
1831008762
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Dietetic TechnicianTaxonomy code 136A00000X
License
923720 Issued in WA
Practice address
9623 171St Ave SE
Snohomish, WA 98290-4106
Phone
(425) 770-0797
NPI assigned
Sep 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X 923720 WA Primary

Addresses

Primary practice location

9623 171St Ave SE
Snohomish, WA 98290-4106

Mailing address

9623 171St Ave SE
Snohomish, WA 98290-4106
Phone (425) 770-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1831008762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 171ST AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982904106",
            "telephone_number": "425-770-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 171ST AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982904106",
            "telephone_number": "425-770-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA BIANCHI",
        "first_name": "JENNIFER",
        "middle_name": "LISA",
        "credential": "NDTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "WA",
            "license": "923720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.