NPIMap

Organization Active NPI

Total Renal Care

  • Nutrition Education Nutritionist
  • Marysville, WA
National Provider Identifier
1851780431
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
DI60517750 Issued in WA
Legal business name
TOTAL RENAL CARE
Practice address
1250 State Ave
Marysville, WA 98270-3659
Phone
(360) 651-0780
Fax
(360) 651-0680
NPI assigned
Jan 20, 2015
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Jenny Lan Chu
Title
Dietitian
Phone
(408) 409-5248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X DI60517750 WA Primary

Addresses

Primary practice location

1250 State Ave
Marysville, WA 98270-3659

Mailing address

5206 1/2 Ballard Ave NW
#6
Seattle, WA 98107-4865

National Provider Directory

National Provider Directory
Tax ID family
Springdale Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1851780431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 1/2 BALLARD AVE NW",
            "address_2": "#6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703659",
            "telephone_number": "360-651-0780",
            "fax_number": "360-651-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LAN",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "408-409-5248"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "DI60517750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.