Individual provider Active NPI

Nicole Ann Ralston, MS, CN

  • Nutritionist
  • Seattle, WA
National Provider Identifier
1972391829
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
61651917 Issued in WA
Practice address
2817 NE 55TH St Ste a
Seattle, WA 98105-5536
Phone
(319) 883-0971
NPI assigned
Apr 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 61651917 WA Primary

Addresses

Primary practice location

2817 NE 55TH St Ste a
Seattle, WA 98105-5536

Mailing address

15525 188TH Ave NE
Woodinville, WA 98072-9164
Phone (319) 883-0971

Other practice location 1

15525 188th Ave NE
Woodinville, WA 98072-9164
Phone (319) 883-0971

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61651917WAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1972391829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 188TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729164",
            "telephone_number": "319-883-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NE 55TH ST STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055536",
            "telephone_number": "319-883-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15525 188th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980729164",
            "country_code": "US",
            "telephone_number": "319-883-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "61651917",
            "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 Apr 29, 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.

Verify at the official NPI Registry.