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).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2726 St Clair Pl, Bellingham, WA 982266132 | 3603035904 |
| Street Address |
1124 COLUMBIA ST STE 400 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2053 |
| 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 |
| 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 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| 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 |
| Find all providers in SEATTLE | ||||
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| 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.