Active NPI
Brooklyn Liberato
- Registered Dietitian
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61524198
- Practice address
- 2320 Freeway Dr
Mount Vernon, WA 98273-5445 - Phone
- (360) 814-8242
- NPI assigned
- Apr 2, 2025
- 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 | DI61524198 | WA | Primary |
Addresses
Primary practice location
2320 Freeway Dr
Mount Vernon, WA 98273-5445
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2320 Fwy Dr
Mount Vernon, WA 98273-5445
Phone (360) 814-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI61524198 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients |
Locations
2320 Freeway Dr
Mount Vernon, WA 98273
Phone (360) 814-6800
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Organizations & group practices 3
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.
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Obstetrics & Gynecology Physician
- Arlington, WA
- NPI 1073554903
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1912701780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 FREEWAY DR",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735445",
"telephone_number": "360-814-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERATO",
"first_name": "BROOKLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61524198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.