DOMINIQUE LOPEZ-STICKNEY (NPI# 1902199607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902199607 |
| Entity Type | Individual |
| Full Name | DOMINIQUE LOPEZ-STICKNEY |
| Credential | RD, LD |
| Practice Address |
8716 E Mill Plain Blvd Vancouver WA 98664-2531 |
| Mailing Address |
Po Box 1600 Vancouver WA 98668-1600 |
| Practice Telephone | 3605147932 |
| Practice Fax Number | 3605144233 |
| Mailing Telephone | 3605147932 |
| Mailing Fax Number | 3605144233 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60219698 | WA | Dietary & Nutritional Service Providers |
| Street Address |
8716 E MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407893001 | Caleb Liem | Obstetrics & Gynecology | 8716 E Mill Plain Blvd, Relief Position Only, Vancouver, WA 98668 | 2006-06-01 |
| 1902424849 | Alison Katie Nastos | Registered Nurse | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2020-07-07 |
| 1083087811 | Abbey Horner | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-11-02 |
| 1134597982 | Natalie Marie Cardoza | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-09-10 |
| 1205218096 | Christine Trabucco | Dietitian, Registered | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-06-29 |
| 1386034601 | Dineen Traci Hinsa | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2015-01-24 |
| 1124449004 | Susan Rylander | Dietitian, Registered | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2013-12-19 |
| 1083042089 | Dynamic Foot and Ankle LLC | Podiatrist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2013-10-29 |
| 1245674498 | Adrian Marie Krutz | Nurse Practitioner | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2013-04-18 |
| 1609138064 | Austin Thomas Horner | Pharmacist | 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | 2012-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
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| 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 |
|---|---|---|---|---|
| 1427667013 | Yi Li | Dietitian, Registered | 7700 Ne Parkway Dr, Vancouver, WA 98662-6648 | 2020-07-29 |
| 1881203032 | Donna Jean Murphy | Dietitian, Registered | 3005 Nw 128th St, Vancouver, WA 98685-2493 | 2020-07-23 |
| 1467076901 | Treshia M Thueson | Dietitian, Registered | 14306 Ne 101st Way, Vancouver, WA 98682-1877 | 2020-06-01 |
| 1528680154 | Susan Reeve | Dietitian, Registered | 7700 Ne Parkway Dr Ste 300, Vancouver, WA 98662-6654 | 2020-05-18 |
| 1306486626 | Mary Kathleen Heid | Dietitian, Registered | 12013 Nw 14th Ave, Vancouver, WA 98685-2404 | 2020-01-14 |
| 1841837762 | Eryn Kelsi Jones | Dietitian, Registered | 10319 Ne 96th St, Vancouver, WA 98662-2278 | 2019-12-10 |
| 1194276535 | Elizabeth Claire Nichols | Dietitian, Registered | 6502 Ne 47th Ave, Vancouver, WA 98661-1305 | 2016-10-20 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1538347588 | Stephanie Mary Belinge | Dietitian, Registered | 11301 Ne 7th St., Ff8, Vancouver, WA 98684 | 2008-02-01 |
| 1215158282 | Patricia May Maddix | Dietitian, Registered | 13006 Se 24 Circle, Vancouver, WA 98683-6500 | 2007-05-01 |
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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.