CELEZ SURATOS (NPI# 1760927073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760927073 |
| Entity Type | Individual |
| Full Name | CELEZ SURATOS |
| Credential | RD |
| Practice Address |
11216 Sunrise Blvd E Suite 209 Puyallup WA 98374-8848 |
| Mailing Address |
19930 Ballinger Way Ne Shoreline WA 98155-1223 |
| Practice Telephone | 4257782220 |
| Mailing Telephone | 4257782220 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60695986 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RD LICENSE | DI60695986 | 01 |
| WA | RD CERTIFICATION | 86006702 | 01 |
| Street Address |
11216 SUNRISE BLVD E SUITE 209 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-8848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220003 | Cynthia K Desmond | Physician Assistant | 11216 Sunrise Blvd E, # 3-106, Puyallup, WA 98374-8848 | 2005-10-24 |
| 1346880036 | Joanne K Lopez | Massage Therapist | 11216 Sunrise Blvd E, Puyallup, WA 98374-8848 | 2020-01-09 |
| 1609335413 | Adriana Phillips-rowe | Massage Therapist | 11216 Sunrise Blvd E, Puyallup, WA 98374-8848 | 2019-03-19 |
| 1083151880 | Katy Palmer | Nurse Practitioner | 11216 Sunrise Blvd E, # 3-106, Puyallup, WA 98374-8848 | 2017-01-31 |
| 1457741688 | Kyle Lewis | Physician Assistant | 11216 Sunrise Blvd E, Ste 3-207, Puyallup, WA 98374-8848 | 2015-01-26 |
| 1619379021 | Jared Collin Rapier | Physician Assistant | 11216 Sunrise Blvd E, #3-106, Puyallup, WA 98374-8848 | 2014-09-17 |
| 1003244088 | Tranecia Celestine | Massage Therapist | 11216 Sunrise Blvd E, Puyallup, WA 98374-8848 | 2013-10-29 |
| 1215369749 | Rae Ann Iams | Nurse Practitioner | 11216 Sunrise Blvd E, Ste 3-207, Puyallup, WA 98374-8848 | 2013-08-07 |
| 1437401858 | Richard Grant | Counselor | 11216 Sunrise Blvd E, Suite 206, Puyallup, WA 98374-8848 | 2012-10-09 |
| 1134488794 | Garrett Scott Jeffery | Family Medicine | 11216 Sunrise Blvd E, # 3-106, Puyallup, WA 98374 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| 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 |
|---|---|---|---|---|
| 1982262457 | Viva Nutrition Counseling LLC | Dietitian, Registered | 13220 96th Avenue Ct E, Puyallup, WA 98373-5528 | 2019-05-30 |
| 1699338525 | Mariah Lenker | Dietitian, Registered | 1002 39th Ave Sw Ste 200, Puyallup, WA 98373-3813 | 2019-04-16 |
| 1518451483 | Sandra Pearce | Dietitian, Registered | 3712 9th St Sw Ste 1a, Puyallup, WA 98373-3564 | 2018-06-14 |
| 1144694738 | Melissa Foor | Dietitian, Registered | 3912 10th St Se Ste C, Puyallup, WA 98374-2188 | 2015-11-19 |
| 1467879767 | Jessica Kim | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2014-03-25 |
| 1730387986 | Brooke S Douglas | Dietitian, Registered | 15308 136th Ave E, Puyallup, WA 98374-9241 | 2007-07-10 |
| 1295344067 | Ali Nicole Coster | Dietitian, Registered | 1408 3rd St Se Ste 200, Puyallup, WA 98372-3702 | 2020-07-28 |
| 1194340349 | Miroslava Anatolyevna Onishchenko | Dietitian, Registered | 1420 3rd St Se Ste 106, Puyallup, WA 98372-3730 | 2020-06-13 |
| 1467014951 | Jessica Lynn Morris | Dietitian, Registered | 1002 39th Ave Sw Ste 200, Puyallup, WA 98373-3813 | 2019-07-03 |
| 1992362008 | Sea-mar Community Health Center | Dietitian, Registered | 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 | 2019-05-23 |
| Find all providers in PUYALLUP | ||||
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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.