DAISY Y WAN (NPI# 1366976656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366976656 |
| Entity Type | Individual |
| Full Name | DAISY Y WAN |
| Credential | RD |
| Practice Address |
1750 112th Ave Ne Bldg 4 Ste E175 Bellevue WA 98004-3752 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 4252890381 |
| Practice Fax Number | 4252890387 |
| Mailing Telephone | 6302962222 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI00001207 | WA | Dietary & Nutritional Service Providers |
| Street Address |
1750 112TH AVE NE BLDG 4 STE E175 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459420 | Craig G Wells | Ophthalmology | 1750 112th Ave Ne, Sutie D050, Bellevue, WA 98004-3752 | 2005-07-06 |
| 1255871224 | Leslie Renee Merklin-barber | Registered Nurse | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2017-02-24 |
| 1770971830 | Over Lake Medical Center | Clinic/Center | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2014-12-24 |
| 1457786246 | Christy Pauline Nelson | Nurse Practitioner | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2013-09-11 |
| 1821423369 | Jake Alan Marshall | Specialist/Technologist | 1750 112th Ave Ne, Suite D-154, Bellevue, WA 98004-3752 | 2013-09-03 |
| 1932531654 | Kate Ruth Casey | Counselor | 1750 112th Ave Ne, Suite E168, Bellevue, WA 98004-3752 | 2013-08-05 |
| 1881035053 | Christina Davis Winkley | Physician Assistant | 1750 112th Ave Ne, Suite D 050, Bellevue, WA 98004-3752 | 2013-07-16 |
| 1124462387 | Danielle Kathryn Ivanova | Psychiatry & Neurology | 1750 112th Ave Ne, Ste B-102, Bellevue, WA 98004 | 2013-04-18 |
| 1467721498 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1750 112th Ave Ne, Suite D-050, Bellevue, WA 98004-3752 | 2011-12-20 |
| 1033409552 | Richard Cecil Geary IIi | Psychiatry & Neurology | 1750 112th Ave Ne, B102, Bellevue, WA 98004-3752 | 2011-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1275134256 | Hannah Baillie | Dietitian, Registered | 11651 Se 58th St, Bellevue, WA 98006-3722 | 2020-11-05 |
| 1780201541 | Tess Han | Dietitian, Registered | 17113 Se 47th Pl, Bellevue, WA 98006-5807 | 2020-06-28 |
| 1124641527 | Maureen Caroline Lilly | Dietitian, Registered | 13244 Ne 40th St, Bellevue, WA 98005-1468 | 2020-05-20 |
| 1295368231 | Elena C Razmpoosh | Dietitian, Registered | 3005 124th Ave Ne, Bellevue, WA 98005-1621 | 2020-02-18 |
| 1982255048 | Stephanie Cheyenne Crowe | Dietitian, Registered | 11000 Ne 33rd Pl Ste 340, Bellevue, WA 98004-1441 | 2019-09-20 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1891210654 | Sara Virginia Newman | Dietitian, Registered | 14715 Ne Bel Red Rd Ste 102, Bellevue, WA 98007-3940 | 2017-08-13 |
| 1639694813 | Perri Lynn Bernard | Dietitian, Registered | 4679 173rd Ave Se, Bellevue, WA 98006-6538 | 2017-08-08 |
| 1083082903 | Abbie Hall | Dietitian, Registered | 1231 116th Ave Ne Ste 515, Bellevue, WA 98004-3804 | 2015-09-09 |
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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.