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Nicole Nyasha Karongo , RDN

Dietitian, Registered β€’ Bothell, WA

Active NPI 1487484010 Individual Practitioner Female Practitioner
Practice location in NPPES

1621 Seattle Hill Rd Apt F1
Bothell, WA 980124103

Call 6125597227 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1621 Seattle Hill Rd Apt F1

Bothell, WA 980124103

Telephone 6125597227
Organization at the Same NPPES Address or Phone
Regents Dietitian Services Facility NPI 1225907876

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

23 active clinicians are listed under Dietitian, Registered with a practice address in Bothell, WA (2,134 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bothell

0% of these 23 clinicians have the CMS telehealth indicator.

8.7% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-04
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES WA DI61667934

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 04, 2025

Registered at 1621 SEATTLE HILL RD APT F1, BOTHELL, WA 980124103 (Tel: 6125597227)

πŸ“
Updated Business Mailing Address November 04, 2025

Registered at 1621 SEATTLE HILL RD APT F1, BOTHELL, WA 980124103 (Tel: 6125597227)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2025

Dietitian, Registered (license number reported to NPPES: WA DI61667934)

βœ…
NPI Profile Active August 07, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2024

Registered at 3869 MIRAMAR ST # 1138, LA JOLLA, CA 920920004 (Tel: 6125597227)

πŸ“
Business Mailing Address (Initial Record) August 07, 2024

Registered at 3869 MIRAMAR ST # 1138, LA JOLLA, CA 920920004 (Tel: 6125597227)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2024

Recorded as NICOLE KARONGO, RDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2024

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration August 07, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487484010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2024
Last Update: November 04, 2025
Sole Proprietor: No

Other Dietitian, Registereds in Bothell

Healthcare providers in Bothell

Mailing Address

1621 Seattle Hill Rd Apt F1

Bothell, WA 980124103

Phone: 6125597227

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.