Alexis A Mettler, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60426229 Issued in WA

Practice address

3901 NE 4TH St Ste 105
Renton, WA 98056

Phone

(425) 656-5377

Fax

(425) 656-5429

NPI assigned

Apr 29, 2014

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Medicare reassignment NPD

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1881004950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NE 4TH ST STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564100",
            "telephone_number": "425-656-5377",
            "fax_number": "425-656-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NE 4TH ST STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98056",
            "telephone_number": "425-656-5377",
            "fax_number": "425-656-5429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Columbia St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042053",
            "country_code": "US",
            "telephone_number": "206-215-2440",
            "fax_number": "206-215-2457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METTLER",
        "first_name": "ALEXIS",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60426229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881004950",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084496",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew L. Merritt, MD
• Trevor Franklin Merritt, ATC
• Chris A. Merryman, PA-C
• Dana Messer, CCC-SLP
• Sydney Kay Metcalf
• Peter Metzger, M.D.
• Elisabeth Meyer, PMHNP-BC
• Jamie Lea Meyer, ARNP
• Kerry Ellen Meyer, ARNP
• Julie A Meyers, M.S, R.D., C.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.