JACIE L VAN BLARICOM (NPI# 1780080515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780080515 |
Entity Type | Individual |
Full Name | JACIE L VAN BLARICOM |
Credential | DI |
Practice Address |
411 Fortuyn Rd Grand Coulee WA 99133-8718 |
Practice Telephone | 5096331753 |
Practice Fax Number | 5096331933 |
Mailing Telephone | 5096331753 |
Mailing Fax Number | 5096331933 |
Enumeration Date | 2014-11-05 |
Last Update Date | 2018-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | DI60513122 | WA | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2040919 | 05 |
Street Address |
411 FORTUYN RD |
City | GRAND COULEE |
State | WA |
Zip Code | 99133-8718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205838703 | David Martin Brown | Nurse Anesthetist, Certified Registered | 411 Fortuyn Rd, Coulee Community Hospital, Grand Coulee, WA 99133-8718 | 2005-08-15 |
1144725664 | Amy Anne Haden | Registered Nurse | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2018-03-27 |
1639689748 | Cheney Owl Pharmacy Inc | Pharmacy | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2017-10-03 |
1982050779 | Leah G Kobes | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2016-05-11 |
1003274614 | Anna Hardesty | Physical Therapist | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2016-02-10 |
1740653807 | Kathleen Christine Henry | Physician Assistant | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-11-10 |
1255709614 | Melissa Stanley | Registered Nurse | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-09-02 |
1134516933 | Jennifer Knox | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-04-20 |
1538589023 | Marilynn Holman | Psychiatry & Neurology | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-04-23 |
1376962852 | Adam Fields Mcconnell | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134754468 | Alexander Chhun Tor | Pharmacist | 320 Midway Ave., Grand Coulee, WA 99133 | 2020-03-06 |
1093081333 | Cara Turner | Pharmacist | 320 Midway Avenue, Grand Coulee, WA 99133 | 2012-03-30 |
1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
1295909448 | Jg Pepperd Dc Pllc | Chiropractor | 400 Burdin Blvd, Grand Coulee, WA 99133 | 2008-04-18 |
1629171616 | Galen Neal Schmidt | Optometrist | 407 Burdin Blvd., Grand Coulee, WA 99133 | 2006-09-06 |
1841230489 | Lesa Eiffert | Counselor | 322 Fortuyn Rd, Grand Coulee, WA 99133 | 2006-06-08 |
1578919700 | Real Vision, Inc | Optometrist | 407 Burdin Blvd, Grand Coulee, WA 99133 | 2016-05-06 |
1255770020 | Kyle M. Gillespie, O.d., Ltd. | Optometrist | 407 Burdin Blvd, Grand Coulee, WA 99133 | 2013-06-14 |
1568716975 | Kai Scott | Physical Therapist | 321 Burdin Boulevard, Grand Coulee, WA 99133 | 2012-11-07 |
1972657328 | Kelly J Prather | Physical Therapist | 321 Burdin Blvd, Grand Coulee Physical Therapy, Grand Coulee, WA 99133 | 2007-01-23 |
Find all providers in zip 99133 |
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 |
---|---|---|---|---|
1407199714 | Grace Ruth Heaton | Dietitian, Registered | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2013-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275134256 | Hannah Baillie | Dietitian, Registered | 11651 Se 58th St, Bellevue, WA 98006-3722 | 2020-11-05 |
1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
1598365876 | Michelle Irene Howe | Dietitian, Registered | 14808 23rd Ave Ne, Arlington, WA 98223-9701 | 2020-10-27 |
1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
1487253621 | Ellen Kim Cho | Dietitian, Registered | 530 Rosewood Dr Sw, Olympia, WA 98502-2686 | 2020-10-20 |
1427656925 | Jeannie Lise Belle Castell | Dietitian, Registered | 4229 Glen Terra Dr Se, Olympia, WA 98503-7165 | 2020-10-15 |
1104424845 | Mariia Byelykh | Dietitian, Registered | 20113 3rd Ave Se, Bothell, WA 98012-4521 | 2020-10-14 |
1629676499 | Shelley Lea Barnhart | Dietitian, Registered | 24315 Se 196th St, Maple Valley, WA 98038-8975 | 2020-10-14 |
1235737115 | Beth Ann Smith | Dietitian, Registered | 130 Teal Ln, Eastsound, WA 98245-5077 | 2020-10-13 |
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City | GRAND COULEE |
Zip Code | 99133 |
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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.