Evergreen Pediatric Nutrition LLC
NPI 1124950845 · Pediatric Nutrition Registered Dietitian · Renton, WA
Evergreen Pediatric Nutrition LLC is a Pediatric Nutrition Registered Dietitian organization in Renton, WA (NPI 1124950845).
Provider details
- NPI number
- 1124950845
- Entity type
- Organization
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Mari Mazon, Business Owner(425) 835-2256
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-05-29
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Frequently asked questions
- What is Evergreen Pediatric Nutrition LLC's NPI number?
- Evergreen Pediatric Nutrition LLC's National Provider Identifier (NPI) is 1124950845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Pediatric Nutrition LLC?
- Evergreen Pediatric Nutrition LLC is classified in the NPPES registry as Pediatric Nutrition Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Evergreen Pediatric Nutrition LLC located?
- Evergreen Pediatric Nutrition LLC's practice location on file with NPPES is 2440 Ferndale Pl Ne, Renton, WA 98056-8374.
- What is Evergreen Pediatric Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Pediatric Nutrition LLC is (425) 835-2256.
- Who is the authorized official for Evergreen Pediatric Nutrition LLC?
- The authorized official listed on Evergreen Pediatric Nutrition LLC's NPPES record is Mari Mazon, Business Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Pediatric Nutrition LLC's NPI active?
- Yes — Evergreen Pediatric Nutrition LLC's NPI (1124950845) is active in the NPPES registry as of the last update on 2026-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.