AMY MACK MS, RD, CSP, CNSC
NPI 1629440318
Dietitian, Registered - Nutrition, Pediatric in Seattle, WA

Active since October 21, 2015
4800 SAND POINT WAY NE, M/S OA 5.210, SEATTLE, WA 98105(206) 987-4758 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy Mack Ms, Rd, Csp, Cnsc NPPES

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

AMY MACK MS, RD, CSP, CNSC (NPI 1629440318) is an individual nutrition, pediatric provider in Seattle, Washington, licensed in Washington (DI 60597926) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1629440318
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameAMY MACKCredential: MS, RD, CSP, CNSC
Location Address4800 SAND POINT WAY NE, M/S OA 5.210Seattle, WA 98105-3901
Mailing Address4800 Sand Point Way Ne, M/s Oa 5.210Seattle, WA 98105-3901 · (206) 987-4758
Sole ProprietorNo
Enumeration DateOctober 21, 2015
NPI 1629440318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License Licensed in WA · DI 60597926
Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

4800 SAND POINT WAY NE, Seattle, WA 98105

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.

Pharmacist (Pharmacotherapy)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Pediatrics
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Genetic Counselor, MS
4800 SAND POINT WAY NE, M2-9
SEATTLE, WA 98105
Genetic Counselor, MS
4800 SAND POINT WAY NE, BIOCHEMICAL GENETICS
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Pediatrics (Pediatric Cardiology)
4800 SAND POINT WAY NE, CHILDRENS HEART CENTER MS G-0035
SEATTLE, WA 98105
Genetic Counselor, MS
4800 SAND POINT WAY NE, CHILDREN'S HOSP & REG MED CTR, MEDICAL GENETICS M2-9
SEATTLE, WA 98105
Pediatrics (Pediatric Hematology-Oncology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629440318, enumerated as an "individual" on October 21, 2015.

The provider is located at 4800 SAND POINT WAY NE M/S OA 5.210 SEATTLE, WA 98105 and the phone number is (206) 987-4758.

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.