Individual provider Active NPI

Angelina Andriola, RDN

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1972203388
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
61365999 Issued in WA
Practice address
8301B 5TH Ave NE
Seattle, WA 98115-4118
Phone
(206) 799-7010
Fax
(206) 866-0204
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 61365999 WA
Registered Dietitian 133V00000X 61365999 WA Primary

Addresses

Primary practice location

8301B 5TH Ave NE
Seattle, WA 98115-4118

Mailing address

13914 NE Salmon Creek Ave # E153
Vancouver, WA 98686-1627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513000733 WA Practitioner - Registered Dietitian Or Nutrition Professional 4880035559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61365999WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Nutrition LLC Dietitian, Registered CurrentSince Apr 16, 2024 Accepting new patients
Sensibly Sprouted LLC Dietitian, Registered PastSince Mar 1, 2023 Accepting new patients

Locations

4400 NE 77th Ave
Ste 275
Vancouver, WA 98662
Phone (206) 799-7010

4400 NE 77th Ave
Vancouver, WA 98662
Phone (503) 765-6335

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1972203388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 NE SALMON CREEK AVE # E153",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301B 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154118",
            "telephone_number": "206-799-7010",
            "fax_number": "206-866-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIOLA",
        "first_name": "ANGELINA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "61365999",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "61365999",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.