SYBIL HIGGINS GAUTREAU (NPI# 1598822199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598822199 |
| Entity Type | Individual |
| Full Name | SYBIL HIGGINS GAUTREAU |
| Credential | R.D., M.A. |
| Practice Address |
3001 Ne 4th St Renton WA 98056-4122 |
| Mailing Address |
7729 120th Pl Se Newcastle WA 98056-9190 |
| Practice Telephone | 2062964700 |
| Practice Fax Number | 2062960568 |
| Mailing Telephone | 4252269823 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI0000223 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA. LICENSE NUMBER | DI00000223 | 01 |
| NATIONAL REGIATRATION # | 328666 | 01 | |
| WA | 832588 | 05 |
| Street Address |
3001 NE 4TH ST |
| City | RENTON |
| State | WA |
| Zip Code | 98056-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033288600 | Joyce Faith Buchanan | Nurse Practitioner | 3001 Ne 4th St, Renton, WA 98056-4122 | 2006-11-07 |
| 1831506112 | Yvette Fierce | Dietitian, Registered | 3001 Ne 4th St, Renton, WA 98056-4122 | 2014-07-17 |
| 1619141199 | Tanya Roesijadi | Dietitian, Registered | 3001 Ne 4th St, Renton, WA 98056-4122 | 2008-04-16 |
| 1245395144 | Laura Anna Fortin | Dietitian, Registered | 3001 Ne 4th St, Renton, WA 98056-4122 | 2006-12-22 |
| 1699847061 | Sarah Kjersten Johnson | Dietitian, Registered | 3001 Ne 4th St, Renton, WA 98056-4122 | 2006-11-14 |
| 1528138930 | Marie Ann Casey-burke | Nurse Practitioner | 3001 Ne 4th St, Renton, WA 98056-4122 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| 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 |
|---|---|---|---|---|
| 1851904692 | Alma Rosa Lopez | Dietitian, Registered | 4914 Ne 24th St, Renton, WA 98059-3771 | 2020-08-30 |
| 1225658941 | Nikki Spring Stevenson | Dietitian, Registered | 18411 120th Ave Se, Renton, WA 98058-7254 | 2020-04-22 |
| 1811499296 | Mikayla Barrett | Dietitian, Registered | 2413 Main Ct S, Renton, WA 98055-4359 | 2018-03-01 |
| 1174979710 | Season Fagan | Dietitian, Registered | 3201 Ne 7th St, Renton, WA 98056-3729 | 2016-05-13 |
| 1326481524 | Mary G Ricci | Dietitian, Registered | 3634 Ne 6th St, Renton, WA 98056-3945 | 2013-04-08 |
| 1710128194 | Yansee M Wong-chin | Dietitian, Registered | 1400 N 38th St, Renton, WA 98056-1535 | 2009-03-16 |
| 1154948503 | Hannah Marie Bain | Dietitian, Registered | 602 Oakesdale Ave Sw, Renton, WA 98057-5224 | 2020-07-01 |
| 1336665959 | Mary Elizabeth Walton | Dietitian, Registered | 4011 Talbot Rd S, Renton, WA 98055-5773 | 2017-08-15 |
| 1871031864 | Abrey Lee | Dietitian, Registered | 4011 Talbot Rd S, Suite 100, Renton, WA 98055-5773 | 2017-02-09 |
| 1962940957 | Kimberly Diana Konczak | Dietitian, Registered | 4011 Talbot Rd S, Suite 100, Renton, WA 98055-5773 | 2017-02-09 |
| Find all providers in RENTON | ||||
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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.