NICOLE WEST
NPI 1104487115
Dietitian, Registered in Yakima, WA

Q: What is Nicole West's NPI number?

The NPI number for Nicole West is 1104487115. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Q: What is Nicole West's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole West was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2019

602 E NOB HILL BLVD, YAKIMA, WA 98901(509) 248-3334(509) 453-6144 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2025, Jun 21, 2019 (2 updates tracked since 2019).

On this page

About Nicole West NPPES

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

NICOLE WEST (NPI 1104487115) is an individual dietitian, registered in Yakima, Washington, licensed in Washington (DI60968791) and active in the NPI registry since June 2019. She maintains a secondary practice location in Walla Walla and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104487115

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameNICOLE WEST

Location Address602 E NOB HILL BLVDYakima, WA 98901-3534

Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395 · Fax (509) 865-0757

Phone(509) 248-3334

Fax(509) 453-6144

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 21, 2019

Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1104487115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WA · DI60968791

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.

602 E NOB HILL BLVD, Yakima, WA 98901

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Secondary Practice Location 1

Location 11120 W Rose StWalla Walla, WA 99362-1662 · Phone (509) 525-0422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole West is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092203349

PECOS Enrollment IDI20251020002512

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.

JENNIFER WILLIAMS

Physician Assistant