Individual provider Active NPI

Marissa Blechschmidt

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1902539083
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
8301B 5TH Ave NE
Seattle, WA 98115-4118
Phone
(206) 799-7010
Fax
(206) 866-0204
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 86277139 WA
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

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

Mailing address

12414 190TH Avenue CT E
Bonney Lake, WA 98391-6027
Phone (253) 350-5913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001853 WA Practitioner - Registered Dietitian Or Nutrition Professional 6507395613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86277139WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Nutrition LLC Dietitian, Registered CurrentSince Jan 1, 2025 Accepting new patients

Locations

4405 7th Ave SE
Ste 200
Lacey, WA 98503
Phone (360) 200-8071

4400 NE 77th Ave
Ste 275
Vancouver, WA 98662
Phone (206) 799-7010

4400 NE 77th Ave
Vancouver, WA 98662
Phone (503) 765-6335

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

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1902539083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12414 190TH AVENUE CT E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916027",
            "telephone_number": "253-350-5913"
        },
        {
            "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": [],
    "basic": {
        "last_name": "BLECHSCHMIDT",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "86277139",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Aug 26, 2026; 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.