Individual provider Active NPI

Erin Saena Yaseen, CN

  • Nutritionist
  • North Bend, WA
National Provider Identifier
1881994820
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU60029155 Issued in WA
Practice address
430 SE 9TH St
North Bend, WA 98045-1126
Phone
(425) 445-3816
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU60029155 WA Primary

Addresses

Primary practice location

430 SE 9TH St
North Bend, WA 98045-1126

Mailing address

PO Box 1401
Suite 15
Snoqualmie, WA 98045-8719
Phone (425) 445-3816

Other names 1

  • Erin Saena Yaseen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NU60029155WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Simplicity Nutrition, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1881994820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1401",
            "address_2": "SUITE 15",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980458719",
            "telephone_number": "425-445-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SE 9TH ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980451126",
            "telephone_number": "425-445-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASEEN",
        "first_name": "ERIN",
        "middle_name": "SAENA",
        "credential": "CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60029155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "YASEEN",
            "middle_name": "SAENA",
            "credential": "CN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

Verify at the official NPI Registry.