MR. NICHOLAS ALBERT BERRETTA (NPI# 1235796376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235796376 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS ALBERT BERRETTA |
| Credential | RDN, CD |
| Practice Address |
10634 E Riverside Dr Ste 250 Bothell WA 98011-3759 |
| Mailing Address |
Po Box 12242 Seattle WA 98102-0242 |
| Practice Telephone | 4259497626 |
| Practice Fax Number | 4259495413 |
| Mailing Telephone | 5095285011 |
| Mailing Fax Number | 4259495413 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 60863913 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1033254115 | 05 | |
| WA | 1891802146 | 05 | |
| WA | 1669938536 | 05 |
| Street Address |
10634 E RIVERSIDE DR STE 250 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| 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 |
|---|---|---|---|---|
| 1104424845 | Mariia Byelykh | Dietitian, Registered | 20113 3rd Ave Se, Bothell, WA 98012-4521 | 2020-10-14 |
| 1609288026 | Cristen Harris | Dietitian, Registered | 18221 102nd Ave Ne, Suite A, Bothell, WA 98011-3466 | 2014-05-21 |
| 1558787069 | April Thomas | Dietitian, Registered | 17709 7th Ave W, Bothell, WA 98012-9112 | 2014-03-07 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| 1831641166 | Kathleen Bradley | Dietitian, Registered | 1909 214th St Se, #300, Bothell, WA 98021-4412 | 2016-11-03 |
| 1134586746 | Rajni Samyuktha Krishna | Dietitian, Registered | 1909 214th St Se Ste 211, Bothell, WA 98021-4418 | 2016-01-27 |
| 1457761678 | Jessica Bluto | Dietitian, Registered | 1909 214th St Se Ste 211, Bothell, WA 98021 | 2014-04-28 |
| 1649535642 | Western Washington Medical Group Inc Ps | Dietitian, Registered | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2012-07-06 |
| 1457660730 | Misha Carter Henshaw | Dietitian, Registered | 18323 98th Ave Ne, Suite 3, Bothell, WA 98011-3358 | 2010-10-04 |
| 1154507358 | Emily Anne Larose | Dietitian, Registered | 10808 Ne 145th St, Bothell, WA 98011-5200 | 2008-01-17 |
| Find all providers in BOTHELL | ||||
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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.