MEDICARE: JOHANNA M RICHTER MS, RDN, CD, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	164.007118	IL
2	171400000X	Health & Wellness Coach	A-3527676
3	133V00000X	Registered Dietitian	DI60850685	WA
4	133V00000X	Registered Dietitian	86107875

General Provider Information

NPI Number	:	1962939769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA M RICHTER MS, RDN, CD, LDN

Provider Business Mailing Address
First Line	:	2801 ALASKAN WAY # 405
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1134
Country	:	US
Telephone Number	:	206-880-0108
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 ALASKAN WAY # 405
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1134
Country	:	US
Telephone Number	:	206-880-0108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	03/14/2026

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