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KATELYN JUSTICE RDN
NPI 1710641444
Dietitian, Registered in Seattle, WA

Active since October 28, 2021
1145 BROADWAY, SEATTLE, WA 98122(206) 329-1760 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katelyn Justice Rdn NPPES

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

KATELYN JUSTICE RDN (NPI 1710641444) is an individual dietitian, registered in Seattle, Washington, licensed in Washington (1023006) and active in the NPI registry since October 2021. She maintains a secondary practice location in Mill Valley.

NPPES Registry Identity

NPI1710641444
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATELYN JUSTICECredential: RDN
Location Address1145 BROADWAYSeattle, WA 98122-4201
Mailing Address1145 BroadwaySeattle, WA 98122-4201 · (206) 329-1760
Phone(206) 329-1760
Sole ProprietorYes
Enumeration DateOctober 28, 2021
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1710641444 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 · 1023006
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.
1145 BROADWAY, Seattle, WA 98122
Open in Google Maps ↗

Other Names 1

Former Name (1)Katelyn Murray Rdn

Secondary Practice Location 1

Location 135 Miller Ave Ste 273Mill Valley, CA 94941-1903 · Phone (415) 302-3651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Justice Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Katelyn Justice reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Polyclinic PLLC
Same address
Audiologist
1145 BROADWAY
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 911 clinicians in this Medicare group
NPI 1174594634 (206) 329-1760
Optum Care Washington PLLC
25 mi
Multi-Specialty
3901 HOYT AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group
NPI 1831186766 (425) 259-0966

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

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.

HUNTER A MCKAY M.D.
Urology
1145 BROADWAY
SEATTLE, WA 98122
King County (206) 329-1760
JON ALLISON REED M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1145 BROADWAY
SEATTLE, WA 98122
King County (866) 236-8296
SEATTLE PRIMARY PHYSICIANS, PLLC
Family Medicine
1145 BROADWAY
SEATTLE, WA 98122
King County (206) 329-1760
DR. JAMES PAPATHANASIOU M.D.
Hospitalist
1145 BROADWAY
SEATTLE, WA 98122
King County (206) 329-1760
KATHERINE M. NEGRON ARNP
Nurse Practitioner
1145 BROADWAY
SEATTLE, WA 98122
King County (206) 329-1760
J FREDERICK BRODSKY MD
Internal Medicine
1145 BROADWAY
SEATTLE, WA 98122
King County (608) 556-3037
WALTER HOLDER JR. M.D.
Surgery (Surgical Oncology)
1145 BROADWAY
SEATTLE, WA 98122
King County (206) 860-5414
JUAN DE LA OSSA M.D.
Surgery
1145 BROADWAY
SEATTLE, WA 98122
King County (206) 329-1760

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 Katelyn Justice's NPI number?

The NPI number for Katelyn Justice is 1710641444. It was assigned to this individual provider in the NPPES registry on October 28, 2021. The provider is also known as Katelyn Murray Rdn.

Where is Katelyn Justice located?

Katelyn Justice practices at 1145 Broadway, Seattle, WA 98122. The listed phone number is (206) 329-1760.

What is Katelyn Justice's specialty?

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

Is Katelyn Justice enrolled in Medicare?

Yes. Katelyn Justice is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katelyn Justice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Justice reassigns Medicare benefits to 2 organizations: The Polyclinic PLLC (Seattle, WA) and Optum Care Washington PLLC (Everett, WA). Each 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 Katelyn Justice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Justice accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Katelyn Justice 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 Katelyn Justice was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.