JAN KINCAID RYSTROM


Address: 1124 Columbia St Ste 400, Seattle, WA 98104-2053
Phone: 2062152440

JAN KINCAID RYSTROM (NPI# 1679714281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679714281
Entity Type Individual
Full Name JAN KINCAID RYSTROM
Credential R.D., C.D.E.
Practice Address 1124 Columbia St Ste 400
Seattle
WA 98104-2053
Mailing Address Po Box 25608
Salt Lake City
UT 84125-0608
Practice Telephone 2062152440
Practice Fax Number 2062152457
Mailing Telephone 2063204476
Mailing Fax Number 2065687043
Enumeration Date 2009-03-11
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DI60098525 WA Dietary & Nutritional Service Providers
N 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2726 St Clair Pl, Bellingham, WA 982266132 3603035904

Office Location

Street Address 1124 COLUMBIA ST STE 400
City SEATTLE
State WA
Zip Code 98104-2053

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679757108 Kelly Denise Van Horn Nutritionist 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2007-12-19
1780169334 Julie L Vieselmeyer Psychologist 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2018-09-29
1548789423 Troy James Flaherty Nurse Practitioner 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2017-09-12
1881124048 Margo Ann Elbert Nutritionist 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2017-06-19
1891231601 Sukwan Jolley Dietitian, Registered 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2017-01-17
1518211069 April Francisco Nurse Practitioner 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2012-11-06
1982915377 Magdalena Anna Szkudlinska Internal Medicine 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2010-06-30
1598992687 Sara E. Martin Del Campo Surgery 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2009-06-16
1386828234 Ann M Fittante Nutritionist 1124 Columbia St Ste 400, Seattle, WA 98104-2053 2007-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629679949 Renewtrition, LLC Dietitian, Registered 4239 Evanston Ave N, Seattle, WA 98103-7206 2020-11-03
1144821620 Sydney Marie Carroll Dietitian, Registered 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 2020-11-03
1679170096 Taisha Bell Dietitian, Registered 300 1st Ave W Apt 303, Seattle, WA 98119-4375 2020-10-08
1225645427 Virginia A Turner Dietitian, Registered 434 Ne 73rd St Apt 1/2, Seattle, WA 98115-5331 2020-09-30
1326653734 Julie Duli Kim Dietitian, Registered 4220 S Trenton St, Seattle, WA 98118-4921 2020-09-11
1750996252 Geneva Curry Dietitian, Registered 3006 Nw Market St Apt 5, Seattle, WA 98107-4222 2020-09-10
1679187066 Sara C Woolcock Dietitian, Registered 1800 15th Ave S Unit B, Seattle, WA 98144-4214 2020-09-02
1275150773 Miranda Duffy Eriksen Dietitian, Registered 4235 Francis Ave N Apt 204, Seattle, WA 98103-7126 2020-06-30
1790302610 Clare Bawden Dietitian, Registered 7408 28th Ave Nw, Seattle, WA 98117-5951 2020-06-26
1366068744 Tracey Kmiecik Dietitian, Registered 5450 Leary Ave Nw Apt 643, Seattle, WA 98107-4081 2020-06-22
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Competitor

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City SEATTLE
Zip Code 98104

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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