Dawn Marie Wilson, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

953643 Issued in WA

Practice address

3702 Long Lake Dr SE
Lacey, WA 98503-4056

Phone

(360) 239-9186

Fax

(360) 464-9999

NPI assigned

Dec 16, 2008

Sex

Female

Sole proprietor

No

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, 2001

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 and National Provider Directory roles.

• Sound Nutrition Dynamics

  • Registered Dietitian
  • Lacey, WA
  • NPI 1861822082

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1962648238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD. SE",
            "address_2": "STE B#227",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-239-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 LONG LAKE DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034056",
            "telephone_number": "360-239-9186",
            "fax_number": "360-464-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "953643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamalyn Joe Williams, L.M.P.
• Tanja A Williams, LMP
• Bilal Haneef Willis, CAMS-1, RCP-F, CPC,
• Maximilian Coale Willson, M.A., L.M.H.C.A.
• Brandi Michelle Wilson
• Michelle Lynn Wilson, L.M.P.
• Destiny Wiltz, RBT
• Shawna T Wingate, LMP
• Winter Rose Body Therapy Inc
• Raymond Clyde Winters, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.