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Active NPI 1730581711 Individual Practitioner Female Practitioner

Liv Mongillo , MS, RDN, CD

Dietitian, Registered • Kent, WA

Professional Overview & Biography Verified Profile Summary

Liv Mongillo, MS, RDN, CD is a registered healthcare professional specializing in Dietitian, Registered in Kent, WA. Practice services are available at 25012 104TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25012 104th Ave Se
Suite C

Kent, WA 980302821

Telephone 2538563477
Fax 2538563478
Associated Practice Facility / Clinic
🏢 Apple Physical Therapy Llc Facility NPI 1629100250

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Kent, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Kent, WA (2154 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI60436312

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Hye Kim , OTR, L, CHT

Occupational Therapist

NPI 1003092149

Occupational Therapist Registered, L, Certified Hand Therapist

Lakisha Dickens , LMP

Massage Therapist

NPI 1013284793

Licensed Massage Practitioner

Sarah Bartholomew , PT

Physical Therapist

NPI 1023483872

Physical Therapist

Sarah Kjorstad , MPT

Physical Therapist

NPI 1114002474

Master of Physical Therapy

NPI 1134824204

Doctor of Physical Therapy

Dr. Roger Castro , PT, DPT

Physical Therapist

NPI 1194443861

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2014

Registered at 25012 104TH AVE SE, SUITE C, KENT, WA 980302821 (Tel: 2538563477)

📍
Updated Business Mailing Address December 03, 2014

Registered at PO BOX 2170, SUMNER, WA 983900480 (Tel: 2538402313)

👤
Provider Name / Credentials Updated December 03, 2014

Recorded as LIV MONGILLO, M.S., R.D.N., C.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2014

Dietitian, Registered (License #DI60436312 in WA)

🟢
Initial NPI Registration & Enumeration September 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730581711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2014
Last Update: December 03, 2014
Sole Proprietor: No

Mailing Address

Po Box 2170

Sumner, WA 983900480

Phone: 2538402313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.