Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nikki Gepner , RDN

Dietitian, Registered β€’ Bothell, WA

Active NPI 1902084254 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

19125 N Creek Pkwy Ste 120
Bothell, WA 980118000

Call 4255880480 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

19125 N Creek Pkwy Ste 120

Bothell, WA 980118000

Telephone 4255880480
Organization at the Same NPPES Address or Phone
Northwest Functional Nutrition, Llc Facility NPI 1760022156

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Woodinville, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2003

Years since graduation

23 years (graduated 2003)

CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Nikki Gepner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

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: 2021-09-16
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES WA DI00001950

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20200313001141

Enrollment State Jurisdiction

WA

PECOS Control ID

9133557739

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

16818 140th Ave Ne

Woodinville, WA 980729001

Phone: 4255880480

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Michelle Walker , ARNP, FNP

Nurse Practitioner - Family

NPI 1861969156

Advanced Registered Nurse Practitioner, Family Nurse Practitioner

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Practice Location September 16, 2021

Registered at 19125 N CREEK PKWY STE 120, BOTHELL, WA 980118000 (Tel: 4255880480)

πŸ“
Updated Business Mailing Address January 13, 2020

Registered at PO BOX 821092, KENMORE, WA 980280999 (Tel: 4255880480)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2020

Dietitian, Registered (license number reported to NPPES: WA DI00001950)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2019

Dietitian, Registered (license number reported to NPPES: WA 940982)

πŸ“
Updated Practice Location June 10, 2019

Registered at 16818 140TH AVE NE, WOODINVILLE, WA 980729001 (Tel: 4255880480)

πŸ“
Updated Practice Location April 15, 2019

Registered at 19819 77TH AVE NE, KENMORE, WA 98028 (Tel: 4255880480)

πŸ“
Updated Business Mailing Address April 15, 2019

Registered at 6700 NE 181ST STREET, PO BOX 821092, KENMORE, WA 980280999 (Tel: 4255880480)

πŸ‘€
Provider Name / Credentials Updated April 15, 2019

Recorded as NIKKI GEPNER, RDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2019

Dietitian, Registered (license number reported to NPPES: WA 940982)

βœ…
NPI Profile Active February 07, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2008

Registered at 700 BROADWAY, SEATTLE, WA 981224302 (Tel: 2062922771)

πŸ“
Business Mailing Address (Initial Record) February 07, 2008

Registered at 700 BROADWAY, SEATTLE, WA 981224302 (Tel: 2062922771)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2008

Recorded as NIKKI GEPNER, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2008

Nutritionist (license number reported to NPPES: WA DI00001950)

🟒
Initial NPI Registration & Enumeration February 07, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1902084254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2008
Last Update: September 16, 2021
Sole Proprietor: Yes

Other Dietitian, Registereds in Bothell

Healthcare providers in Bothell

Mailing Address

Po Box 821092

Kenmore, WA 980280999

Phone: 4255880480

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.