DR. JEAN ANN EKVALL (NPI# 1417099391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417099391 |
| Entity Type | Individual |
| Full Name | DR. JEAN ANN EKVALL |
| Other Name | DR. JEANNE ANN EKVALL |
| Credential | RD, DRPH, CHES, RN |
| Practice Address |
520 W Indian Ave Brewster WA 98812 |
| Mailing Address |
Po Box 337 Brewster WA 98812-0337 |
| Practice Telephone | 5096892525 |
| Practice Fax Number | 5096893247 |
| Mailing Telephone | 5096892525 |
| Mailing Fax Number | 5096893247 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI00000848 | WA | Dietary & Nutritional Service Providers |
| N | 163W00000X | Registered Nurse | RN00119314 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8260127 | 05 |
| Street Address |
520 W INDIAN AVE |
| City | BREWSTER |
| State | WA |
| Zip Code | 98812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623581 | L Keith Hanson Pllc | Clinic/Center | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| 1174043384 | Victoria Malloch Desalvo | Nurse Practitioner | 520 W Indian Ave, Brewster, WA 98812 | 2017-06-20 |
| 1710328869 | Jamie R Descoteaux | Nurse Practitioner | 520 W Indian Ave, Brewster, WA 98812 | 2013-07-17 |
| 1821340092 | Family Health Centers | Clinic/Center | 520 W Indian Ave, Brewster, WA 98812 | 2012-10-11 |
| 1316123581 | Caribou Trail Professional Medical Group | Orthopaedic Surgery | 520 W Indian Ave, Brewster, WA 98812-0220 | 2008-01-17 |
| 1235190380 | Greg L Ledgerwood | Allergy & Immunology | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-29 |
| 1023077922 | Lindsay Keith Hanson | Family Medicine | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| 1811956717 | Christopher J Casey | Physician Assistant | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689032542 | Edith A Mcclosky | Massage Therapist | 718 West Main Avenue, Brewster, WA 98812 | 2016-02-08 |
| 1912327321 | Advantage Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 537 Main Ave, Brewster, WA 98812 | 2014-04-24 |
| 1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
| 1194019612 | Mitzi Gutierrez | Student in an Organized Health Care Education/Training Program | 343 E. Main Ave., Brewster, WA 98812 | 2011-06-01 |
| 1982938924 | Jason R Tucker | Dentist | 101 North 6th Street, Brewster, WA 98812 | 2009-09-23 |
| 1649409186 | Family Health Centers | Clinic/Center | 101 North Sixth Street, Brewster, WA 98812 | 2009-07-06 |
| 1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
| 1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1639375124 | Robert Thomas Lamberton | Orthopaedic Surgery | 520 West Indian Avenue, Brewster, WA 98812 | 2007-06-22 |
| Find all providers in zip 98812 | ||||
| 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 |
|---|---|---|---|---|
| 1831342161 | Lisa Notaro-pane | Dietitian, Registered | 907 Somerset Knoll, Brewster, NY 10509 | 2008-10-30 |
| 1568628196 | Michele Gunnison | Dietitian, Registered | 110 Vails Lake Shore Dr, Brewster, NY 10509-1725 | 2008-08-04 |
| 1922041300 | Courtney Rose Driscoll | Dietitian, Registered | 26 Wampum Drive, Brewster, MA 02631 | 2006-06-14 |
| 1548221682 | Live Nutrition Inc | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2006-03-29 |
| 1467736033 | Rachel Dyer Pernick | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2011-09-30 |
| 1508068180 | Abigail Usen Berner | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2007-06-05 |
| 1033160080 | Margaret Davis | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2006-05-15 |
| 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 | ||||
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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.