Carrie Jayne Tollefson, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00000459 Issued in WA

Practice address

1120 112TH Ave NE Ste 150
Bellevue, WA 98004-4505

Phone

(425) 688-5484

Fax

(425) 688-5912

NPI assigned

Oct 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carrie Jayne Holland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

86.73 of 100Reported as apm

Quality

73.46

Promoting interoperability

100

Improvement activities

40

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.

• Overlake Medical Clinics LLC

  • Specialist
  • Bellevue, WA
  • NPI 1871745703
  NPD
• Overlake Medical Clinics, LLC

  • Specialist
  • Bellevue, WA
  • NPI 1801828421
  NPD

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1972931491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 112TH AVE NE STE 150",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044505",
            "telephone_number": "425-688-5484",
            "fax_number": "425-688-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 112TH AVE NE STE 150",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044505",
            "telephone_number": "425-688-5484",
            "fax_number": "425-688-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEFSON",
        "first_name": "CARRIE",
        "middle_name": "JAYNE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "00000459",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WA",
            "license": "00000459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "HOLLAND",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Chiyoko Tochiki
• Johnny S Tock, MS, LMHC
• Todd Lawson, PS
• Tokiko Mito Poppe DDS PS
• Marisol Toliver-Sokol
• Barbara Tolliver-Craig, R.PH.
• Brittany Tolliver
• Jennifer Crowe Tolo, M.D.
• Joyce Tolson
• Judy Tom, L.AC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.