MRS. MARIE B HUBBARD (NPI# 1114981016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114981016 |
| Entity Type | Individual |
| Full Name | MRS. MARIE B HUBBARD |
| Credential | DTR |
| Practice Address |
Madigan Army Medical Center Medical Nutrition Therapy Branch Ft Lewis WA 98433 |
| Mailing Address |
4334 Clearwater Loop Se Lacey WA 98503-4437 |
| Practice Telephone | 2539680544 |
| Mailing Telephone | 3604137389 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
| Street Address |
MADIGAN ARMY MEDICAL CENTER MEDICAL NUTRITION THERAPY BRANCH |
| City | FT LEWIS |
| State | WA |
| Zip Code | 98433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114004199 | Gita Velu | Social Worker | Madigan Army Medical Center, Ft Lewis, WA 98431 | 2006-11-01 |
| 1588659874 | Melanie Juneq Wood | Physician Assistant | Madigan Army Medical Center, Ft Lewis, WA 98433 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
| 1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| Find all providers in zip 98433 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609678 | Matthew Glen Koontz | Dietetic Technician, Registered | 507 Ne Northgate Way Apt 139, Seattle, WA 98125-6185 | 2020-08-14 |
| 1740890177 | Karen Mclellan | Dietetic Technician, Registered | 9556 Sand Point Way Ne Apt 1, Seattle, WA 98115-2652 | 2020-07-31 |
| 1053950519 | Krishna Shah | Dietetic Technician, Registered | 136 102nd Ave Se Apt 405, Bellevue, WA 98004-8144 | 2020-01-02 |
| 1295193084 | Leila Davis | Dietetic Technician, Registered | 17806 80th Ave Ne, Kenmore, WA 98028-1806 | 2016-02-08 |
| 1831560218 | Ashton Daniel | Dietetic Technician, Registered | 1700 Westlake Ave N, 700, Seattle, WA 98109-3012 | 2015-10-12 |
| 1881083988 | Mary Clare Kelley | Dietetic Technician, Registered | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2015-01-13 |
| 1053513341 | Melissa Ann Everson | Dietetic Technician, Registered | 360 Nw North St, Chehalis, WA 98532-1925 | 2007-05-31 |
| 1568553378 | Carol Lynn Smith | Dietetic Technician, Registered | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-09-27 |
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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.