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

Judith Lynne Willis, MPHRDCDCDCES

Individual provider Registered Dietitian · NPI 1821159039

Judith Lynne Willis, MPHRDCDCDCES is a Registered Dietitian OR Nutrition Professional in Bellingham, Washington. Qualified in 1997, 29 years ago. Practices with Lifestylerx Florida PA, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
29
Licensed in
WA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1114 Ellis St
Bellingham, WA 98225-5204
Phone: (360) 510-5075
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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 727126 (WA)
Registered Dietitian Taxonomy 133V00000X · Licence DI00001288 (WA)

Record details

NPI number1821159039
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPHRDCDCDCES
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address20 University Rd Ste 5, Cambridge, MA 02138-5815

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Lifestylerx Florida Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bellingham