Kristen Rezabek, MS, RD, CD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001380 Issued in WA

Practice address

1117 Spring St
Friday Harbor, WA 98250-9782

Phone

(360) 378-2141

NPI assigned

Mar 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Andrews Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Peacehealth

  dba Peacehealth Peace Island Medical Center

  • Critical Access Hospital
  • Friday Harbor, WA
  • NPI 1487917233
  Medicare reassignment NPD
• Peacehealth

  • Emergency Medicine Physician
  • Friday Harbor, WA
  • NPI 1508129842
  Medicare reassignment NPD

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1831430164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1462",
            "fax_number": "360-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982509782",
            "telephone_number": "360-378-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZABEK",
        "first_name": "KRISTEN",
        "credential": "MS, RD, CD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ANDREWS",
            "credential": "MS, RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Planned Parenthood of Greater Washington and North Idaho
• Rosa Yi Potts, RN
• Roger Rath, M.D.
• Susan L Reed, NP
• Shannon Reitan
• Sandra Richard, MACOM
• Mary Ann Riggs, LICSW
• Ellen Roberts, LICSW
• Arna Kay Robins-Delappe, ARNP
• Rooted Physical Therapy PLLC

• Registered Dietitian in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.