Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Kay Bullat, RD

Individual provider Registered Dietitian · NPI 1417398454

Amanda Kay Bullat, RD is a Registered Dietitian OR Nutrition Professional in Lake Forest Park, Washington. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2013
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

18495 Ballinger Way NE
Lake Forest Park, WA 98155-4238
Phone: (541) 647-9185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI 60133367 (WA)

Record details

NPI number1417398454
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJuly 6, 2013
Last updated in NPPESJuly 6, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Lake Forest Park