MR. NICHOLAS ALBERT BERRETTA


Address: 10634 E Riverside Dr Ste 250, Bothell, WA 98011-3759
Phone: 4259497626

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 60863913 WA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1033254115 05
WA 1891802146 05
WA 1669938536 05

Office Location

Street Address 10634 E RIVERSIDE DR STE 250
City BOTHELL
State WA
Zip Code 98011-3759

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City BOTHELL
Zip Code 98011

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Dataset Information

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.

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