MRS. DEBORAH RAE DEHAVEN (NPI# 1053825422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053825422 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH RAE DEHAVEN |
| Other Name | MISS DEBORAH RAE MCMILLAN |
| Credential | REGISTERED DIETITIAN |
| Practice Address |
17700 Se 272nd St Ste 300 Covington WA 98042-4951 |
| Mailing Address |
1901 S Union Ave Tacoma WA 98405-1702 |
| Practice Telephone | 2533727011 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI654 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGISTERED DIETITIAN | DI654 | 01 |
| Street Address |
17700 SE 272ND ST STE 300 |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316401094 | Bryan Scott Delchamps | Dietitian, Registered | 240 Partridge St, Covington, LA 70433-6319 | 2019-01-26 |
| 1033610514 | Amy Carey | Dietitian, Registered | 760 Mirabella Ln, Covington, LA 70433-0882 | 2018-02-21 |
| 1295270841 | Rebecca Markway Lee | Dietitian, Registered | 138 Crapemyrtle Rd, Covington, LA 70433-4766 | 2017-01-05 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1376802835 | Lily Wesley | Dietitian, Registered | 80b Gardenia Dr, Covington, LA 70433-9168 | 2012-05-03 |
| 1356627418 | Elizabeth Hobbs | Dietitian, Registered | 2120 Dressler Dr, Covington, VA 24426-6109 | 2011-11-02 |
| 1033417282 | Abdul Kenyatta Lindsay | Dietitian, Registered | 40 River Walk Farm Pkwy, Covington, GA 30014-7084 | 2011-03-10 |
| 1982907929 | Mary Lon David | Dietitian, Registered | 1166 Leighs Chapel Rd, Covington, TN 38019-4508 | 2010-12-14 |
| 1649470345 | Herline A Knights | Dietitian, Registered | 80 Trillium Ter, Covington, GA 30016-7335 | 2007-07-20 |
| 1942409693 | Melissa Anne Gispert | Dietitian, Registered | 1202 South Tyler Street, St Tammany Parish Hospital Opp, Covington, LA 70433 | 2007-07-13 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.