LEILA DAVIS


Address: 17806 80th Ave Ne, Kenmore, WA 98028-1806
Phone: 8702245492

LEILA DAVIS (NPI# 1295193084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295193084
Entity Type Organization
Organization Name LEILA DAVIS
Practice Address 17806 80th Ave Ne
Kenmore
WA 98028-1806
Practice Telephone 8702245492
Mailing Telephone 8702245492
Enumeration Date 2016-02-08
Last Update Date 2016-02-08
Authorized Official Name LEILA ALEXANDRA DAVIS (NUTRITION AND DIET TECHNICINA)
Authorized Official Telephone 8702245492
Authorized Official Credential NDTR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered 1057724 AR Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA COMMISSION ON DIETETIC REGISTRATION 1057724 01

Office Location

Street Address 17806 80TH AVE NE
City KENMORE
State WA
Zip Code 98028-1806

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275131237 Pacifica Kenmore LLC Alzheimer Center (Dementia Center) 7221 Ne 182nd Street, Kenmore, WA 98028 2020-10-13
1487173183 Reiko Margarete Kobayashi-wagner Dietitian, Registered 17512 83rd Pl Ne, C304, Kenmore, WA 98028 2017-09-13
1356866776 Matthew Vaughn Specialist/Technologist 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 2017-08-07
1619407467 Suzanne Marie Gisch Family Medicine 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 2017-06-14
1063853018 Vinai Prakash Podiatrist 6610 Ne 181st St Ste 4, Kenmore, WA 98028 2013-07-07
1760732580 Benjamin Dorantes Dds Pllc Dentist 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 2012-09-19
1538491378 Kellie A Cheever Massage Therapist 8846 Ne 160th Pl, Kenmore, WA 98028 2010-02-04
1275867855 Mei-hsuan Ko Dentist 5723 Ne Bothell Way Ste C, Kenmore, WA 98028 2009-09-29
1659521912 Wayne E Carr Psychologist 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 2008-09-23
1366625899 Kevin Michael Smith Chiropractor 7249 Ne 171st Ln, Kenmore, WA 98028 2007-12-06
Find all providers in zip 98028

Taxonomy Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821609678 Matthew Glen Koontz Dietetic Technician, Registered 507 Ne Northgate Way Apt 139, Seattle, WA 98125-6185 2020-08-14
1740890177 Karen Mclellan Dietetic Technician, Registered 9556 Sand Point Way Ne Apt 1, Seattle, WA 98115-2652 2020-07-31
1053950519 Krishna Shah Dietetic Technician, Registered 136 102nd Ave Se Apt 405, Bellevue, WA 98004-8144 2020-01-02
1831560218 Ashton Daniel Dietetic Technician, Registered 1700 Westlake Ave N, 700, Seattle, WA 98109-3012 2015-10-12
1881083988 Mary Clare Kelley Dietetic Technician, Registered 6001 N Mayfair St, Spokane, WA 99208-1129 2015-01-13
1053513341 Melissa Ann Everson Dietetic Technician, Registered 360 Nw North St, Chehalis, WA 98532-1925 2007-05-31
1568553378 Carol Lynn Smith Dietetic Technician, Registered 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 2006-09-27
1114981016 Marie B Hubbard Dietetic Technician, Registered Madigan Army Medical Center, Medical Nutrition Therapy Branch, Ft Lewis, WA 98433 2006-04-17

Competitor

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City KENMORE
Zip Code 98028

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Dataset Information

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.

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