Marci Nelson Villanueva, RD, CD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DI00000945 Issued in WA

Practice address

4800 Sand Point Way NE
Ms W3726
Seattle, WA 98105-3901

Phone

(206) 987-6558

NPI assigned

Sep 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982706792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23507 99TH PL W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "MS W3726",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MARCI",
        "middle_name": "NELSON",
        "name_prefix": "Ms.",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WA",
            "license": "DI00000945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8261430",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Sue Muyargas Villanueva, PTA
• Betzaida Villanueva
• Christopher Maith Villanueva, RPH
• Kharlajoy Villanueva
• Leonilla T Villanueva, RPH
• Vivian Villanueva, PHARM. D.
• Angelica Villar
• Mark Antone Villard
• Aaron Kyle Villarreal, M.D.
• Jennifer L Villatte, PHD

• Pediatric Nutrition Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Nutrition Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.