MARY KETCHUM RDN, CD
NPI 1780214809
Dietitian, Registered in Olympia, WA

Q: What is Mary Ketchum's NPI number?

The NPI number for Mary Ketchum is 1780214809. It was assigned to this individual provider in the NPPES registry on January 16, 2020. The provider is also known as Molly Mallette.

Q: What is Mary Ketchum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Ketchum was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 16, 2020

700 LILLY RD NE, OLYMPIA, WA 98506(360) 923-7000 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2021, Apr 2, 2021, Jan 16, 2020 (3 updates tracked since 2020).

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About Mary Ketchum Rdn, Cd NPPES

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

MARY KETCHUM RDN, CD (NPI 1780214809) is an individual dietitian, registered in Olympia, Washington, licensed in Washington (DI60878346) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1780214809

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARY KETCHUMCredential: RDN, CD

Location Address700 LILLY RD NEOlympia, WA 98506-5115

Mailing Address700 Lilly Rd NeOlympia, WA 98506-5115 · (360) 923-7000

Phone(360) 923-7000

Sole ProprietorNo

Enumeration DateJanuary 16, 2020

Last NPPES UpdateJune 29, 20213 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1780214809 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 · DI60878346

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.

700 LILLY RD NE, Olympia, WA 98506

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Other Names 1

Other Name (5)Molly Mallette

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.

AMIHAN A FERRER M.D.

Family Medicine