MRS. MOLLY JEAN KOCZARSKI (NPI# 1508100132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508100132 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY JEAN KOCZARSKI |
| Other Name | MISS MOLLY JEAN MAXFIELD |
| Credential | MOLLY KOCZARSKI, RDN |
| Practice Address |
690 Barnes Blvd Joint Base Lewis Mcchord WA 98438-1303 |
| Mailing Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Practice Telephone | 3605805423 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 60083621 | WA | Dietary & Nutritional Service Providers |
| Street Address |
690 BARNES BLVD |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98438-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600068 | Kathleen Greenhalgh | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2005-09-23 |
| 1982175113 | Miguel Antonio Rodriguez Jr. | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2018-12-16 |
| 1184135428 | Eric Logan Dorner | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-13 |
| 1952812349 | Jodie Mitchell | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1093226458 | Jayce Moody | Dental Hygienist | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1861916801 | Christopher D Lucio Strayer | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-08-01 |
| 1154877645 | Chanel Pedersen | Licensed Practical Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-08-25 |
| 1063864809 | Tom Thomas | Registered Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-07-05 |
| 1407228737 | Jamye Patrice Gore | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2015-10-26 |
| 1922488360 | Alexander Dominic Jobrack | Preventive Medicine | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1336 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810483 | Roveds Kaarins | Nursing Care | Mcchord Air Force Base Clinic, 690 Barnes Blvd Jblm Lakewood Wa, Apo, AA 98438 | 2019-03-19 |
| 1326459843 | Dr Larsen Eye Care Inc | Optometrist | 504 A St Mcchord Main Exchange, Ft. Lewis Mcchord Afb, WA 98438 | 2014-05-19 |
| 1548580392 | Kevin Lok | Family Medicine | 600 Barnes Blvd., Mcchord Medical Clinic, Jblm, WA 98438 | 2010-06-03 |
| 1720205578 | Nathan Kane Fosmore | Registered Nurse | Us Dept of The Us Airforce, 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2007-04-20 |
| 1225176951 | Ronald Richardson Morris | Family Medicine | 690 Barnes Road, Mcchord Medical Clinic Fam Med Clinic, Joint Base Lewis Mcchord, WA 98438 | 2007-02-02 |
| 1770527418 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | A Street Bldg 504, Mcchord Afb, WA 98438 | 2006-06-15 |
| 1982660692 | Shanti Jones | Registered Nurse | 62nd Med Group, 690 Barnes Ave, Mcchord Afb, WA 98438 | 2006-04-21 |
| 1578547436 | Cynthia Lee Fry-spray | Physician Assistant | 691 Barnes Blvd, Mcchord Afb, WA 98438 | 2005-12-05 |
| 1366432171 | Robert Dean Rock | Dentist | 527 Barnes Blvd, Mcchord Air Forse Base Dental Clinic, Mcchord, WA 98438 | 2005-10-24 |
| 1457344913 | Norman Harris | Dentist | 62mdos/sgod 690 Barnes Blvd., Mcchord Afb, WA 98438 | 2005-08-30 |
| Find all providers in zip 98438 | ||||
| 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 |
|---|---|---|---|---|
| 1417499831 | Victoria Hedrick | Dietitian, Registered | 6565 Magnolia Blvd, Joint Base Lewis Mcchord, WA 98433-1223 | 2016-11-16 |
| 1023467560 | Lauren Bickley | Dietitian, Registered | 9040 Jackson Ave Ncd, Joint Base Lewis Mcchord, WA 98431-2116 | 2016-06-06 |
| 1992269450 | Megan Nicole Koistinen | Dietitian, Registered | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-01-29 |
| 1306398276 | Vladislava Ivanova | Dietitian, Registered | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-4504 | 2016-10-26 |
| 1467808477 | Erica Lewis | Dietitian, Registered | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2016-05-09 |
| 1497129019 | Nancy Vander Linden | Dietitian, Registered | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-11-19 |
| 1902279631 | Alicia Pabilona | Dietitian, Registered | 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-11-03 |
| 1295136448 | Asia Nakakura | Dietitian, Registered | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2014-09-08 |
| 1124376876 | Sabrina Meier Ramme | Dietitian, Registered | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-08-28 |
| 1194007534 | Ashley Ryan Carlson | Dietitian, Registered | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2011-09-12 |
| Find all providers in JOINT BASE LEWIS MCCHORD | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98438 |
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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.