Active NPI
Kathryn Anne Brisbane, RD
- Registered Dietitian
- Auburn, WA
National Provider Identifier
1942848874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86110757
- Practice address
- 29656 57TH PL S
Auburn, WA 98001-2387 - Phone
- (888) 771-5166
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 86110757 | WA | Primary |
Addresses
Primary practice location
29656 57TH PL S
Auburn, WA 98001-2387
Mailing address
29656 57TH PL S
Auburn, WA 98001-2387
Phone (253) 736-3871
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86110757 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1942848874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29656 57TH PL S",
"city": "AUBURN",
"state": "WA",
"postal_code": "980012387",
"telephone_number": "253-736-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29656 57TH PL S",
"city": "AUBURN",
"state": "WA",
"postal_code": "980012387",
"telephone_number": "888-771-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISBANE",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "86110757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.