Individual provider Active NPI

Raven Bonnar-Pizzorno, MS, RD

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1861648420
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI 60052259 Issued in WA
Practice address
8301B 5TH Ave NE
Seattle, WA 98115-4118
Phone
(206) 799-7010
Fax
(206) 866-0204
NPI assigned
Aug 14, 2008
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DI60052259 WA
Registered Dietitian 133V00000X DI 60052259 WA Primary

Addresses

Primary practice location

8301B 5TH Ave NE
Seattle, WA 98115-4118

Mailing address

1202 8TH Ave W
Seattle, WA 98119-3442

Other practice location 1

1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone (206) 799-7010

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI60052259WAMDNutritionist
DI 60052259WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1861648420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 8TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301B 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154118",
            "telephone_number": "206-799-7010",
            "fax_number": "206-866-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 SE Alder St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142400",
            "country_code": "US",
            "telephone_number": "206-799-7010",
            "fax_number": "206-866-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNAR-PIZZORNO",
        "first_name": "RAVEN",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "DI60052259",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60052259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.