Active NPI
Judith Keiser, R.D.
- Registered Dietitian
- Spokane, WA
National Provider Identifier
1962549170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00000720
- Practice address
- 105 W 5TH Ave
Suite 660E
Spokane, WA 99204-4820 - Phone
- (509) 474-5445
- Fax
- (509) 474-2441
- NPI assigned
- Jan 30, 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 | DI00000720 | WA | Primary |
Addresses
Primary practice location
105 W 5TH Ave
Suite 660E
Spokane, WA 99204-4820
Mailing address
PO Box 462
Liberty Lake, WA 99019-0462
Phone (509) 458-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8510125 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00000720 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Washington Hospital Company LLC | Dietitian, Registered | Past | Accepting new patients |
| Empire Health Services | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1336194893
-
- Registered Dietitian
- Spokane, WA
- NPI 1053551127
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1962549170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 462",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190462",
"telephone_number": "509-458-5800",
"fax_number": "509-473-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 5TH AVE",
"address_2": "SUITE 660E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044820",
"telephone_number": "509-474-5445",
"fax_number": "509-474-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISER",
"first_name": "JUDITH",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00000720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8510125",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.