Active NPI
Doris Piccinin, M.S. R.D. C.D.E.
- Registered Dietitian
- Kenmore, WA
National Provider Identifier
1891834487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 808960
- Practice address
- 14500 Juanita Dr NE
Kenmore, WA 98028-4966 - Phone
- (425) 602-3099
- Fax
- (206) 834-4131
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 808960 | WA | Primary |
Addresses
Primary practice location
14500 Juanita Dr NE
Kenmore, WA 98028-4966
Mailing address
PO Box 34936
Dept 1025
Seattle, WA 98124-1936
Phone (206) 834-4183
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
| License | State | Type | Specialty |
|---|---|---|---|
| 808960 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becoming Mama | Past | Accepting new patients | |
| Bastyr University | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
- NPI 1386230803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1891834487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34936",
"address_2": "DEPT 1025",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241936",
"telephone_number": "206-834-4183",
"fax_number": "206-834-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 JUANITA DR NE",
"city": "KENMORE",
"state": "WA",
"postal_code": "980284966",
"telephone_number": "425-602-3099",
"fax_number": "206-834-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCININ",
"first_name": "DORIS",
"credential": "M.S. R.D. C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "808960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.