Active NPI
Holly Elizabeth Anderson
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1972060309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1100 N 35TH St
Seattle, WA 98103-8906 - Phone
- (206) 309-3966
- NPI assigned
- Feb 21, 2019
- 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 | WA | Primary |
Addresses
Primary practice location
1100 N 35TH St
Seattle, WA 98103-8906
Mailing address
1100 N 35TH St
Seattle, WA 98103-8906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1401198 | Other | OR | DRIVER'S LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish & Bloom Nutrition | Current | Accepting new patients | |
| Experience Momentum, Inc - Fremont | 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.
-
- Health Service Clinic/Center
- Portland, OR
- NPI 1477363125
-
- Physical Therapist
- Seattle, WA
- NPI 1164998548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1972060309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N 35TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N 35TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038906",
"telephone_number": "206-309-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "HOLLY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "1401198",
"state": "OR"
}
],
"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 Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.