SOFIA SANCHEZ PORUSH (NPI# 1497370415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497370415 |
| Entity Type | Individual |
| Full Name | SOFIA SANCHEZ PORUSH |
| Credential | RD |
| Practice Address |
4800 200th St Sw Apt E103 Lynnwood WA 98036-6361 |
| Practice Telephone | 4087683254 |
| Mailing Telephone | 4087683254 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86090910 | WA | Dietary & Nutritional Service Providers |
| Street Address |
4800 200TH ST SW APT E103 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| 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 |
|---|---|---|---|---|
| 1225676406 | Erica Catherine Polney | Dietitian, Registered | 5026 196th St Sw, Lynnwood, WA 98036-6102 | 2019-12-18 |
| 1396283982 | Kathryn L Watson | Dietitian, Registered | 5523 178th Pl Sw, Lynnwood, WA 98037-3517 | 2017-02-03 |
| 1629466420 | Christiane Elizabeth Wake Rice | Dietitian, Registered | 19101 36th Ave W Suite 207, Lynnwood, WA 98036 | 2014-12-31 |
| 1588968648 | Megan Marie Ellison | Dietitian, Registered | 3203 206th Pl Sw, Lynnwood, WA 98036-7817 | 2011-01-04 |
| 1912185174 | Kimberly J Mathai | Dietitian, Registered | 16523 7th Pl W, Lynnwood, WA 98037-8107 | 2008-02-08 |
| 1750982963 | Laura Elizabeth Fears | Dietitian, Registered | 19217 36th Ave W Ste 102, Lynnwood, WA 98036-5751 | 2020-11-04 |
| 1740754928 | Olivia Renee Love | Dietitian, Registered | 3203 206th Pl Sw, Lynnwood, WA 98036-7817 | 2019-01-22 |
| 1215417704 | Johanna Nicole Dibble | Dietitian, Registered | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-08-15 |
| 1467953885 | Kelsey Dosh | Dietitian, Registered | 3203 206th Pl Sw, Lynnwood, WA 98036-7817 | 2018-02-21 |
| 1659889418 | Sara Louise Ravi-johnson | Dietitian, Registered | 3203 206th Pl Sw, Lynnwood, WA 98036-7817 | 2018-01-15 |
| Find all providers in LYNNWOOD | ||||
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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.