STACEY TROGDON (NPI# 1912034018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912034018 |
| Entity Type | Individual |
| Full Name | STACEY TROGDON |
| Credential | RD |
| Practice Address |
6120 N Mayfair St Spokane WA 99208-1033 |
| Mailing Address |
Po Box 3867 Spokane WA 99220-3867 |
| Practice Telephone | 5096886700 |
| Practice Fax Number | 5094849212 |
| Mailing Telephone | 5096886700 |
| Mailing Fax Number | 5096886777 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D100001085 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2087263 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 W 1st Ave, Spokane, WA 992013825 | 5092328145 | 5092328151 |
| Street Address |
6120 N MAYFAIR ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269499 | Timothy John Gardner | Internal Medicine | 6120 N Mayfair St, Suite 101, Spokane, WA 99208-1033 | 2005-10-14 |
| 1023445228 | Trishanna Marie Jones | Counselor | 6120 N Mayfair St, Spokane, WA 99208-1033 | 2013-10-02 |
| 1194714923 | Terri Ann Oskin | Internal Medicine | 6120 N Mayfair St, Spokane, WA 99208-1033 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| 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 |
| 1891283560 | Mikaela Carrillo | Dietitian, Registered | 2020 E 29th Ave Ste 210, Spokane, WA 99203-3950 | 2018-04-27 |
| 1629565759 | Rachel Robinson | Dietitian, Registered | 1212 N Washington St Ste 213, Spokane, WA 99201-2401 | 2018-04-14 |
| 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.