MR. DEBRA SUE SANDVIG (NPI# 1316104896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316104896 |
| Entity Type | Individual |
| Full Name | MR. DEBRA SUE SANDVIG |
| Credential | RD,CD, IBCLC |
| Practice Address |
507 N Nanum St Suite 102 Ellensburg WA 98926-2886 |
| Practice Telephone | 5099627515 |
| Practice Fax Number | 5099627581 |
| Mailing Telephone | 5099627515 |
| Mailing Fax Number | 5099627581 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 818154 | WA | Dietary & Nutritional Service Providers |
| Street Address |
507 N NANUM ST SUITE 102 |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508924275 | Kittitas County Public Health | Clinic/Center | 507 N Nanum St, Suite 102, Ellensburg, WA 98926 | 2006-12-05 |
| 1992250310 | Merit Resources Services | Counselor | 507 N Nanum St, Suite 30, Ellensburg, WA 98926-2886 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| 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 |
|---|---|---|---|---|
| 1134402787 | James T Gallagher | Dietitian, Registered | 110 E 17th Ave, Ellensburg, WA 98926-2518 | 2011-09-20 |
| 1710165956 | Carli K Hill | Dietitian, Registered | 1942 Bar 14 Rd, Ellensburg, WA 98926-7338 | 2008-02-08 |
| 1447349469 | Judith Darlene Heesacker | Dietitian, Registered | 518 N Pine St, Suite 102, Ellensburg, WA 98926-3196 | 2006-10-11 |
| 1043662703 | J.nutrition, LLC | Dietitian, Registered | 413 N Main St, Suite J, Ellensburg, WA 98926-3183 | 2016-07-06 |
| 1801247986 | Shena Rose Jaramillo | Dietitian, Registered | 413 N Main St, Suite J, Ellensburg, WA 98926-3183 | 2016-06-29 |
| 1154792133 | Emily M Shaw | Dietitian, Registered | 400 E University Way, Ellensburg, WA 98926-7502 | 2015-10-15 |
| 1558684621 | Kaitlin S Todd | Dietitian, Registered | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2010-03-03 |
| 1497984108 | Charlene K. Mize | Dietitian, Registered | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2009-07-02 |
| 1598947368 | Pamela Dae Dick | Dietitian, Registered | 603 S Chestnut St, Ellensburg, WA 98926 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134256 | Hannah Baillie | Dietitian, Registered | 11651 Se 58th St, Bellevue, WA 98006-3722 | 2020-11-05 |
| 1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
| 1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
| 1598365876 | Michelle Irene Howe | Dietitian, Registered | 14808 23rd Ave Ne, Arlington, WA 98223-9701 | 2020-10-27 |
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1487253621 | Ellen Kim Cho | Dietitian, Registered | 530 Rosewood Dr Sw, Olympia, WA 98502-2686 | 2020-10-20 |
| 1427656925 | Jeannie Lise Belle Castell | Dietitian, Registered | 4229 Glen Terra Dr Se, Olympia, WA 98503-7165 | 2020-10-15 |
| 1104424845 | Mariia Byelykh | Dietitian, Registered | 20113 3rd Ave Se, Bothell, WA 98012-4521 | 2020-10-14 |
| 1629676499 | Shelley Lea Barnhart | Dietitian, Registered | 24315 Se 196th St, Maple Valley, WA 98038-8975 | 2020-10-14 |
| 1235737115 | Beth Ann Smith | Dietitian, Registered | 130 Teal Ln, Eastsound, WA 98245-5077 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
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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.