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

Daisy Y Wan, RD

Individual provider Registered Dietitian · NPI 1366976656

Daisy Y Wan, RD is a Registered Dietitian OR Nutrition Professional in Bellevue, Washington. Qualified in 1992, 34 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
34
Licensed in
WA
In the registry since
2017
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1750 112th Ave NE Bldg 4 Ste E175
Bellevue, WA 98004-3752
Phone: (425) 289-0381
Fax: (425) 289-0387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI00001207 (WA)

Record details

NPI number1366976656
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedApril 13, 2017
Last updated in NPPESApril 13, 2017
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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