LEILA DAVIS (NPI# 1295193084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 136A00000X | Dietetic Technician, Registered | 1057724 | AR | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | COMMISSION ON DIETETIC REGISTRATION | 1057724 | 01 |
Street Address |
17806 80TH AVE NE |
City | KENMORE |
State | WA |
Zip Code | 98028-1806 |
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 Code | 136A00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietetic Technician, Registered |
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. |
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 |
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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.