MR. MATTHEW GLEN KOONTZ RD
NPI 1821609678
Dietitian, Registered in Bellevue, WA

Active since August 14, 2020
10900 NE 4TH ST STE 2300, BELLEVUE, WA 98004(425) 633-2022 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Aug 14, 2020 (2 updates tracked since 2020).

About Mr. Matthew Glen Koontz Rd NPPES

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

MR. MATTHEW GLEN KOONTZ RD (NPI 1821609678) is an individual dietitian, registered in Bellevue, Washington and active in the NPI registry since August 2020. He maintains 5 additional practice locations.

NPPES Registry Identity

NPI1821609678
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. MATTHEW GLEN KOONTZCredential: RD
Location Address10900 NE 4TH ST STE 2300Bellevue, WA 98004-5882
Mailing Address16550 Ne 79th St Apt 121Redmond, WA 98052-2474 · (425) 633-2022
Sole ProprietorYes
Enumeration DateAugust 14, 2020
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
NPI 1821609678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDietetic Technician, RegisteredTaxonomy 136A00000X
10900 NE 4TH ST STE 2300, Bellevue, WA 98004

Secondary Practice Locations 5

Location 111335 NE 122nd Way Ste 105Kirkland, WA 98034-6933 · Phone (425) 633-2022 · Fax (888) 538-8128
Location 21455 NW Leary Way Ste 400Seattle, WA 98107-5138 · Phone (425) 633-2022 · Fax (888) 538-8128
Location 3701 5th Ave Ste 42Seattle, WA 98104-7097 · Phone (425) 633-2022 · Fax (888) 538-8128
Location 411900 NE 1st StBellevue, WA 98005-3046 · Phone (425) 633-2022 · Fax (888) 538-8128
Location 51420 5th Ave Ste 2200Seattle, WA 98101-1346 · Phone (425) 633-2022 · Fax (888) 538-8128

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
10900 NE 4TH ST STE 2300
BELLEVUE, WA 98004
Electrodiagnostic Medicine
10900 NE 4TH ST STE 2300
BELLEVUE, WA 98004
Marriage & Family Therapist
10900 NE 4TH ST STE 2300
BELLEVUE, WA 98004
Counselor (Mental Health)
10900 NE 4TH ST STE 2300
BELLEVUE, WA 98004
Social Worker (Clinical)
10900 NE 4TH ST STE 2300
BELLEVUE, WA 98004

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 Matthew Koontz's NPI number?

The NPI number for Matthew Koontz is 1821609678. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Matthew Koontz located?

Matthew Koontz practices at 10900 NE 4th St Ste 2300, Bellevue, WA 98004. The listed phone number is (425) 633-2022.

What is Matthew Koontz's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Koontz was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.