MRS. KRISTINE MIKA PETERSON R.D.
NPI 1023565355
Dietitian, Registered in Seattle, WA

Active since September 02, 2016Accepts Medicare Assignment
93.09/100
CMS Quality Rating
1550 N 115TH ST, SEATTLE, WA 98133(206) 520-5000 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2024, Dec 18, 2020, Sep 2, 2016 (3 updates tracked since 2016).

About Mrs. Kristine Mika Peterson R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTINE MIKA PETERSON R.D. (NPI 1023565355) is an individual dietitian, registered in Seattle, Washington, licensed in Washington (DI60720921) and active in the NPI registry since September 2016. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1023565355
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KRISTINE MIKA PETERSONCredential: R.D.
Location Address1550 N 115TH STSeattle, WA 98133-8401
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 2, 2016
Last NPPES UpdateMay 3, 20243 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
NPI 1023565355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in WA · DI60720921 Licensed in AZ · 1033963
Definition
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.
1550 N 115TH ST, Seattle, WA 98133

Other Names 1

Former Name (1)Kristine Tamaki R.d.

Other Identifiers 2

Other1033963AZ · Committee On Dietetic Registration Id Number
Medicaid1023565355WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kristine Mika Peterson R.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032407242
PECOS Enrollment IDI20201228002310

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Emergency Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Emergency Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Registered Nurse
1550 N 115TH ST
SEATTLE, WA 98133
Internal Medicine (Interventional Cardiology)
1550 N 115TH ST
SEATTLE, WA 98133
Anesthesiology
1550 N 115TH ST
SEATTLE, WA 98133
Emergency Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Physical Therapy Assistant
1550 N 115TH ST
SEATTLE, WA 98133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Peterson's NPI number?

The NPI number for Kristine Peterson is 1023565355. It was assigned to this individual provider in the NPPES registry on September 2, 2016. The provider is also known as Kristine Tamaki R.D..

Where is Kristine Peterson located?

Kristine Peterson practices at 1550 N 115th St, Seattle, WA 98133. The listed phone number is (206) 520-5000.

What is Kristine Peterson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kristine Peterson enrolled in Medicare?

Yes. Kristine Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristine Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kristine Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Peterson was last updated on May 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.