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Active NPI 1639623481 Individual Practitioner Female Practitioner

Danette Wickman , RD

Dietitian, Registered • Kirkland, WA

Professional Overview & Biography Verified Profile Summary

Danette Wickman, RD is a registered healthcare professional specializing in Dietitian, Registered in Kirkland, WA. Practice services are available at 12040 NE 128TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12040 Ne 128th St

Kirkland, WA 980343013

Telephone 4258991551
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Kirkland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
31 Specialists

Practicing in Kirkland, WA (2154 Statewide)

Telehealth Adoption Rate
6.5% 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 DI00001863

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
NPI 1003326943

Doctor of Pharmacy (Pharm.D.)

Darlene Grinde , RN

Registered Nurse

NPI 1003653502

Registered Nurse

Dr. Austin Gross , MD

Emergency Medicine

NPI 1013146653

Doctor of Medicine (M.D.)

Dr. June Lee , MD

Anesthesiology

NPI 1023065323

Doctor of Medicine (M.D.)

Dr. Erin-Siobhain Currin , MD

Internal Medicine - Hematology & Oncology

NPI 1023274875

Doctor of Medicine (M.D.)

Rachana Gudipudi

Anesthesiology

NPI 1023643814

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 12040 NE 128TH ST, KIRKLAND, WA 980343013 (Tel: 4258991551)

📍
Updated Business Mailing Address August 10, 2016

Registered at 12040 NE 128TH ST, KIRKLAND, WA 980343013 (Tel: 4258991551)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as DANETTE WICKMAN, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Dietitian, Registered (License #DI00001863 in WA)

🟢
Initial NPI Registration & Enumeration August 10, 2016

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: 1639623481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2016
Last Update: August 10, 2016
Sole Proprietor: Yes

Mailing Address

12040 Ne 128th St

Kirkland, WA 980343013

Phone: 4258991551

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.