MIKAELA CARRILLO (NPI# 1891283560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891283560 |
| Entity Type | Individual |
| Full Name | MIKAELA CARRILLO |
| Credential | RD, CD |
| Practice Address |
2020 E 29th Ave Ste 210 Spokane WA 99203-3950 |
| Practice Telephone | 9496971175 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 6 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMISSION ON DIETETIC REGISTRATION | 86070124 | 01 |
| Street Address |
2020 E 29TH AVE STE 210 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| 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 |
|---|---|---|---|---|
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1558979369 | Rooted Nutrition Counseling | Dietitian, Registered | 1516 W Riverside Ave Ste 205, Spokane, WA 99201-1241 | 2020-07-17 |
| 1104457282 | Christine Marie Lowman | Dietitian, Registered | 910 W 5th Ave Ste 650, Spokane, WA 99204-2967 | 2020-01-28 |
| 1851939136 | Gloria Jean Treis | Dietitian, Registered | 4815 N Assembly St # Ms 120, Spokane, WA 99205-6197 | 2019-12-17 |
| 1639717226 | Rachel Alexandria Traylor | Dietitian, Registered | 1403 W 3rd Ave, Spokane, WA 99201-7023 | 2019-12-15 |
| 1992346514 | Amy Yeoman | Dietitian, Registered | 711 N Helena St Ste C, Spokane, WA 99202-2826 | 2019-10-04 |
| 1790254969 | Riley Allen Mccorkle | Dietitian, Registered | 101 W 8th Ave Ste 1100, Spokane, WA 99204-2307 | 2018-11-17 |
| 1942791850 | Margaret Eleacia Walser | Dietitian, Registered | 728 S Monroe St Apt 3, Spokane, WA 99204-3019 | 2018-05-25 |
| 1629565759 | Rachel Robinson | Dietitian, Registered | 1212 N Washington St Ste 213, Spokane, WA 99201-2401 | 2018-04-14 |
| 1588196547 | Sarah Hinson | Dietitian, Registered | 3314 W Bruce Ave, Spokane, WA 99208-4610 | 2017-03-29 |
| Find all providers in SPOKANE | ||||
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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.