Amanda Bullat, RD
NPI 1417398454 · Registered Dietitian · Lake Forest Park, WA
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Bullat, RD is a Registered Dietitian provider in Lake Forest Park, WA (NPI 1417398454).
Provider details
- NPI number
- 1417398454
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DI 60133367 (WA)
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
12 yrs in NPPES 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
- 2013-07-06
- Last updated
- 2013-07-06
Frequently asked questions
- What is Amanda Bullat's NPI number?
- Amanda Bullat's National Provider Identifier (NPI) is 1417398454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Bullat's specialty?
- Amanda Bullat is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Amanda Bullat located?
- Amanda Bullat's practice location on file with NPPES is 18495 Ballinger Way Ne, Lake Forest Park, WA 98155-4238.
- What is Amanda Bullat's phone number?
- The practice phone number listed in the NPPES registry for Amanda Bullat is (541) 647-9185.
- Does Amanda Bullat accept Medicare?
- Amanda Bullat is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Bullat's NPI active?
- Yes — Amanda Bullat's NPI (1417398454) is active in the NPPES registry as of the last update on 2013-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.