MISS JOHANNA NICOLE DIBBLE RD
NPI 1215417704
Dietitian, Registered in Lynnwood, WA

Active since August 15, 2018
4030 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036(425) 776-0803(425) 776-0813 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Johanna Nicole Dibble Rd NPPES

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

MISS JOHANNA NICOLE DIBBLE RD (NPI 1215417704) is an individual dietitian, registered in Lynnwood, Washington, licensed in (86065807) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1215417704
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMISS JOHANNA NICOLE DIBBLECredential: RD
Location Address4030 ALDERWOOD MALL BLVDLynnwood, WA 98036-6763
Mailing Address1110 26th AveSeattle, WA 98122-4920 · (775) 842-5400
Fax(425) 776-0813
Sole ProprietorYes
Enumeration DateAugust 15, 2018
NPI 1215417704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed · 86065807
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.
4030 ALDERWOOD MALL BLVD, Lynnwood, WA 98036

Accepted Insurance

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.

Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Massage Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Massage Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Massage Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Massage Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036

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 Johanna Dibble's NPI number?

The NPI number for Johanna Dibble is 1215417704. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Johanna Dibble located?

Johanna Dibble practices at 4030 Alderwood Mall Blvd, Lynnwood, WA 98036. The listed phone number is (425) 776-0803.

What is Johanna Dibble's specialty?

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

What insurance does Johanna Dibble accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Johanna Dibble 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 Johanna Dibble was last updated on August 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.