Provider Demographics
NPI:1457924680
Name:BLUMENTHAL, MEREDITH (MS, RDN)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:BLUMENTHAL
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E JOHN ST APT 314
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5527
Mailing Address - Country:US
Mailing Address - Phone:206-390-9200
Mailing Address - Fax:
Practice Address - Street 1:11000 NE 33RD PL STE 340
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1441
Practice Address - Country:US
Practice Address - Phone:425-818-1296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-24
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered