MISS SUSANA DE LA FUENTE (NPI# 1639787765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639787765 |
| Entity Type | Individual |
| Full Name | MISS SUSANA DE LA FUENTE |
| Credential | RDN |
| Practice Address |
3020 Rucker Ave Everett WA 98201-3900 |
| Mailing Address |
20347 Ne 61st Ct Redmond WA 98053-7824 |
| Practice Telephone | 4253395200 |
| Mailing Telephone | 8323395482 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
3020 RUCKER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854953 | Snohomish Health District | Public Health or Welfare | 3020 Rucker Ave, Suite 308, Everett, WA 98201-3900 | 2005-07-08 |
| 1447790654 | Felicia Cain | Registered Nurse | 3020 Rucker Ave, Suite 100, Everett, WA 98201-3900 | 2017-03-07 |
| 1477900728 | Alba Suarez | Registered Nurse | 3020 Rucker Ave, Everett, WA 98201-3900 | 2016-05-17 |
| 1275855462 | Lindee Lorene Tollefsen | Registered Nurse | 3020 Rucker Ave, Everett, WA 98201-3900 | 2010-02-16 |
| 1215162748 | Snohomish Health District | Public Health or Welfare | 3020 Rucker Ave, Suite 308, Everett, WA 98201-3900 | 2009-05-28 |
| 1851531529 | Snohomish Health District | Clinic/Center | 3020 Rucker Ave, Suite 306, Everett, WA 98201-3900 | 2009-02-20 |
| 1831338094 | Susan Kahle Babcock | Registered Nurse | 3020 Rucker Ave, Suite 108, Everett, WA 98201-3900 | 2009-02-11 |
| 1285873851 | Leona Rosalind Muench | Registered Nurse | 3020 Rucker Ave, Ste.203, Everett, WA 98201-3900 | 2009-02-05 |
| 1710125737 | Mary Louise Merrell | Registered Nurse | 3020 Rucker Ave, Suite 208, Everett, WA 98201-3900 | 2009-01-29 |
| 1629216619 | Gayle Lanier | Registered Nurse | 3020 Rucker Ave, Suite 208, Everett, WA 98201-3900 | 2009-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1902315682 | Sarah Aan Moore | Dietitian, Registered | 6426 Lombard Ave, Everett, WA 98203-4814 | 2017-09-25 |
| 1063786135 | Madeline Marie Neff | Dietitian, Registered | 2615 W Casino Rd Ste 3j, Everett, WA 98204-2110 | 2012-03-06 |
| 1063714582 | Carolyn Zhaleh Gazori | Dietitian, Registered | 13723 Puget Park Dr, Everett, WA 98208-9447 | 2010-12-04 |
| 1285813287 | Kathleen Carmela Bundy | Dietitian, Registered | 2804 Grand Ave Ste 300, Everett, WA 98201-3586 | 2007-10-26 |
| 1053944314 | Elizabeth S Kraft | Dietitian, Registered | 900 Pacific Ave Ste 501, Everett, WA 98201-4189 | 2020-02-14 |
| 1134765589 | Shari Brown | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-11-20 |
| 1245891241 | Rebecca Christine Aronsen | Dietitian, Registered | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-06-21 |
| 1699332122 | Sea Mar Community Health Center | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-05-21 |
| 1598229445 | Vanessa Nelson | Dietitian, Registered | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-24 |
| 1972075687 | Nicole Crotty | Dietitian, Registered | 125 130th St Se, Everett, WA 98208-6401 | 2018-12-19 |
| Find all providers in EVERETT | ||||
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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.