Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Nichole Evanoff, PA-C, RD

Individual provider Registered Dietitian · NPI 1629730502

Lisa Nichole Evanoff, PA-C, RD is a Physician Assistant in Seattle, Washington. Qualified in 2025, 1 year ago. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone: (206) 987-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.PA.70094994 (WA)
Registered Dietitian Taxonomy 133V00000X · Licence DIET.DI.61590015 (WA)

Record details

NPI number1629730502
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RD
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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