KATIE DWAILEEBE (NPI# 1760816391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760816391 |
| Entity Type | Individual |
| Full Name | KATIE DWAILEEBE |
| Practice Address |
205 Se Park Plaza Drive 105 Vancouver WA 98684 |
| Practice Telephone | 6197877557 |
| Mailing Telephone | 6197877557 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | NU60728766 | WA | Dietary & Nutritional Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9911 Se Mount Scott Blvd, Portland, OR 972666302 | 5032584200 |
| Street Address |
205 SE PARK PLAZA DRIVE 105 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035885 | Trisha Lynn Granger | Nutritionist | 2506 Se 112th Ave, Vancouver, WA 98664-5332 | 2019-07-17 |
| 1437455656 | Five Rings | Nutritionist | 6715 Ne 63rd St, 259, Vancouver, WA 98661-1980 | 2011-02-04 |
| 1285875153 | Peggy A Dejong | Nutritionist | 1605 Se 128th Ct, Vancouver, WA 98683-6435 | 2009-03-23 |
| 1457995284 | Madison Katherine Muhlhauser | Nutritionist | 800 Franklin St Ste 200, Vancouver, WA 98660-3356 | 2019-11-05 |
| 1376921627 | Peacehealth | Nutritionist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-05-07 |
| 1851712772 | David Lindsley | Nutritionist | 4400 Ne 77th Ave, Suite 275, Vancouver, WA 98662-6829 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346858982 | Carolina Cartier | Nutritionist | 11901 Ne Village Plz Ste 261, Kirkland, WA 98034-5089 | 2020-07-20 |
| 1578182689 | Kacie Krantz | Nutritionist | 1511 11th Ave W #3, Seattle, WA 98119 | 2020-04-09 |
| 1124651252 | Chelsea Fechtner | Nutritionist | 2717 Western Ave Apt 105, Seattle, WA 98121-1118 | 2020-02-18 |
| 1659901981 | Sofia Sabeti | Nutritionist | 11105 Tillicum Dr, Anderson Island, WA 98303-8739 | 2020-01-26 |
| 1699305201 | Braden Sowle | Nutritionist | 12603 100th Ln Ne Unit K150, Kirkland, WA 98034-8827 | 2020-01-22 |
| 1952948952 | Jennifer Coomes | Nutritionist | 22845 Se 1st Pl Apt 405, Sammamish, WA 98074-5038 | 2019-12-09 |
| 1962051755 | Anne Lewis | Nutritionist | 5420 W Barnes Rd Apt 102, Spokane, WA 99208-7031 | 2019-09-05 |
| 1619529203 | Emily E Brown | Nutritionist | 5037 16th Ave Ne, Seattle, WA 98105-4228 | 2019-07-12 |
| 1235798273 | Emily Jean Wittenhagen | Nutritionist | 6248 Flora Ave S, Seattle, WA 98108-2742 | 2019-06-12 |
| 1356802946 | Margaret Mills | Nutritionist | 1615 S Cedar St, Tacoma, WA 98405-2445 | 2019-03-27 |
| 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.