Nikki Gepner, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001950 Issued in WA

Practice address

19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000

Phone

(425) 588-0480

NPI assigned

Feb 7, 2008

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Functional Nutrition, LLC

  • Clinic/Center
  • Bothell, WA
  • NPI 1760022156
  NPD Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1902084254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821092",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980280999",
            "telephone_number": "425-588-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19125 N CREEK PKWY STE 120",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118000",
            "telephone_number": "425-588-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16818 140th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980729001",
            "country_code": "US",
            "telephone_number": "425-588-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEPNER",
        "first_name": "NIKKI",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Geller, PT
• Genesis Integrative Psychiatry
• Gentle Nutrition LLC
• Gentle Touch Dental Group
• Michael Darren George, MD
• Gericef (gericef LLC)
• Gericef LLC
• Christina Gesell
• Maryam Ghassemi
• Daniel Ghebre

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.