EDITH SHRECKENGAST (NPI# 1205390283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205390283 |
| Entity Type | Individual |
| Full Name | EDITH SHRECKENGAST |
| Credential | RDN |
| Practice Address |
25012 104th Ave Se Ste C Kent WA 98030-2821 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2538563477 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60866718 | WA | Dietary & Nutritional Service Providers |
| Street Address |
25012 104TH AVE SE STE C |
| City | KENT |
| State | WA |
| Zip Code | 98030-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023483872 | Sarah E Bartholomew | Physical Therapist | 25012 104th Ave Se Ste C, Kent, WA 98030-2821 | 2015-12-04 |
| 1134778525 | Hannah Grace Rohde | Physical Therapy Assistant | 25012 104th Ave Se Ste C, Kent, WA 98030-2821 | 2019-09-09 |
| 1487112272 | Matthew Phillip Grunewald | Dietitian, Registered | 25012 104th Ave Se Ste C, Kent, WA 98030-2821 | 2019-03-11 |
| 1902322316 | Jennifer M Niemeyer | Physical Therapist | 25012 104th Ave Se Ste C, Kent, WA 98030-2821 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| 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 |
|---|---|---|---|---|
| 1659981785 | Candice Knauer | Dietitian, Registered | 1225 Theater Drive, Kent, OH 44242-9627 | 2020-08-04 |
| 1770112757 | Jessica Jacqueline Yost | Dietitian, Registered | 953 Morris Rd, Kent, OH 44240-4003 | 2020-04-02 |
| 1255965893 | Julia Lynn Meissner | Dietitian, Registered | 1102 Hickory Mills Cir, Kent, OH 44240-4652 | 2020-02-22 |
| 1134764061 | Erin Phillips Nutrition, LLC | Dietitian, Registered | 6642 S 193rd Pl Ste N106, Kent, WA 98032-3109 | 2019-11-14 |
| 1801456363 | Rachael Erickson | Dietitian, Registered | 969 Phillip Dr, Kent, OH 44240-2091 | 2019-06-17 |
| 1477920387 | Deepa Lakshmmi Balaraman | Dietitian, Registered | 25742 104th Ave Se, Kent, WA 98030-7691 | 2015-08-26 |
| 1902141534 | Christine Rojewski | Dietitian, Registered | 22607 141st Ave Se, Kent, WA 98042-3846 | 2012-12-07 |
| 1770651473 | Ewa Irena Baldysz | Dietitian, Registered | 1404 Central Ave S Suite 112, Seattle & King County Public Health, Kent, WA 98032-7433 | 2006-12-01 |
| 1922176023 | Paula B. Wolfe | Dietitian, Registered | 13111 Se 274th St, Suite # 208, Kent, WA 98030-8929 | 2006-11-30 |
| 1255414355 | Donna L Maher | Dietitian, Registered | 24528 147th Ave Se, Kent, WA 98042-3336 | 2006-10-23 |
| Find all providers in KENT | ||||
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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.