JISUN PARK
NPI 1669097572
Dietitian, Registered in Seattle, WA

Active since June 16, 2020
747 BROADWAY, SEATTLE, WA 98122(202) 714-2893 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jisun Park NPPES

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

JISUN PARK (NPI 1669097572) is an individual dietitian, registered in Seattle, Washington, licensed in Washington (86064132) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1669097572
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJISUN PARK
Location Address747 BROADWAYSeattle, WA 98122-4379
Mailing Address130 Ne 95th St Apt A307Seattle, WA 98115-2056 · (202) 714-2893
Sole ProprietorNo
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
NPI 1669097572 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 · 86064132
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.

747 BROADWAY, Seattle, WA 98122

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.

Genetic Counselor, MS
747 BROADWAY, SWEDISH MEDICAL CENTER
SEATTLE, WA 98122
Anesthesiology
747 BROADWAY
SEATTLE, WA 98122
Pharmacist (Pharmacotherapy)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122

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 Jisun Park's NPI number?

The NPI number for Jisun Park is 1669097572. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Jisun Park located?

Jisun Park practices at 747 Broadway, Seattle, WA 98122. The listed phone number is (202) 714-2893.

What is Jisun Park's specialty?

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

What insurance does Jisun Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jisun Park 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 Jisun Park was last updated on June 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.