WWMG DIABETIC EDUCATION
NPI 1649535642
Dietitian, Registered in Bothell, WA

Active since July 06, 2012
1909 214TH ST SE, SUITE 211, BOTHELL, WA 98021(425) 259-4041 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wwmg Diabetic Education NPPES

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

WWMG DIABETIC EDUCATION (NPI 1649535642) is a healthcare organization registered as a dietitian, registered in Bothell, Washington and active in the NPI registry since July 2012. The organization lists Kim Holstein, Director Pfs, as its authorized official.

NPPES Registry Identity

NPI1649535642
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP INC PS
Location Address1909 214TH ST SE, SUITE 211Bothell, WA 98021-4412
Mailing Address1728 W Marine View DrEverett, WA 98201-2094 · (425) 259-4041
Organization SubpartYesParent: Western Washington Medical Group
Authorized OfficialKim HolsteinDirector Pfs · (425) 259-4041
Enumeration DateJuly 6, 2012
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1649535642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
1909 214TH ST SE, Bothell, WA 98021

Other Names 1

Doing Business AsWwmg Diabetic Education

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wwmg Diabetic Education is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Wwmg Diabetic Education, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner23
Family Practice11
Pulmonary Disease9
Critical Care (Intensivists)8
Orthopedic Surgery8
Gastroenterology6
Cardiovascular Disease (Cardiology)4
Clinical Psychologist3
13 other specialties18

Nearest to this location (20)

See all 90
Pulmonary Disease
NPI 1154419588
1909 214TH ST SE STE 300
Bothell, WA 98021
(425) 412-7200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205082211
1909 214TH ST SE STE 205
Bothell, WA 98021
(425) 420-1657
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1467491076
19119 N CREEK PKWY STE 102
Bothell, WA 98011
(425) 923-7945
✔ PECOS✔ Accepts Medicare2.8 mi
Pulmonary Disease
NPI 1992200844
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts Medicare5.4 mi
Critical Care (Intensivists)
NPI 1043337751
12728 19TH AVE SE SUITE 200
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts Medicare5.4 mi
Pulmonary Disease
NPI 1801113154
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts Medicare5.4 mi
Pulmonary Disease
NPI 1679962419
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1841056033
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts Medicare5.4 mi
Cardiovascular Disease (Cardiology)
NPI 1235493255
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts Medicare5.4 mi
Cardiovascular Disease (Cardiology)
NPI 1679070080
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts Medicare5.4 mi
Interventional Cardiology
NPI 1588611347
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts Medicare5.4 mi
Critical Care (Intensivists)
NPI 1942837497
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts Medicare5.4 mi
Interventional Cardiology
NPI 1043256803
12728 19TH AVENUE SE SUITE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts Medicare5.4 mi
Cardiac Electrophysiology
NPI 1558317651
12728 19TH AVENUE SE SUITE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1497472815
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 317-8025
✔ PECOS✔ Accepts Medicare5.4 mi
Nephrology
NPI 1013957661
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-6801
✔ PECOS✔ Accepts Medicare5.4 mi
Critical Care (Intensivists)
NPI 1053685107
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1275192841
12728 19TH AVE SE STE 200
Everett, WA 98208
(425) 225-2700
✔ PECOS✔ Accepts Medicare5.4 mi
Neurology
NPI 1467803700
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 252-1116
✔ PECOS✔ Accepts Medicare5.4 mi
Physical Medicine and Rehabilitation
NPI 1619264009
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 212-3130
✔ PECOS✔ Accepts Medicare5.4 mi
See all 90 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Western Washington Medical Group Inc Ps's NPI number?

The NPI number for Western Washington Medical Group Inc Ps is 1649535642. It was assigned to this organization in the NPPES registry on July 6, 2012. The provider is doing business as Wwmg Diabetic Education.

Where is Western Washington Medical Group Inc Ps located?

Western Washington Medical Group Inc Ps is located at 1909 214th St SE Suite 211, Bothell, WA 98021. The listed phone number is (425) 259-4041.

What is Western Washington Medical Group Inc Ps's specialty?

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

Is Western Washington Medical Group Inc Ps enrolled in Medicare?

Yes. Western Washington Medical Group Inc Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Washington Medical Group Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 21 Medicare specialties reassign their Medicare billing to Western Washington Medical Group Inc Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (23), Family Practice (11) and Pulmonary Disease (9). Of these, 2 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Western Washington Medical Group Inc Ps was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.