MRS. BROOKE S DOUGLAS


Address: 15308 136th Ave E, Puyallup, WA 98374-9241
Phone: 2532278284

MRS. BROOKE S DOUGLAS (NPI# 1730387986) 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) 1730387986
Entity Type Individual
Full Name MRS. BROOKE S DOUGLAS
Other Name MISS BROOKE S BEAVERS
Credential R.D.
Practice Address 15308 136th Ave E
Puyallup
WA 98374-9241
Practice Telephone 2532278284
Mailing Telephone 2532278284
Enumeration Date 2007-07-10
Last Update Date 2007-07-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 706866 WA Dietary & Nutritional Service Providers

Other Providers BROOKE DOUGLAS

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1912518804 Brooke Douglas Physical Therapist 1321 Sw Market St, Lees Summit, MO 64081-2904 2020-08-13
1972071306 Brooke Erin Douglas Nurse Practitioner 332 S Orchard Springs Dr Ste 150, Pueblo, CO 81007-6154 2018-11-03

Office Location

Street Address 15308 136TH AVE E
City PUYALLUP
State WA
Zip Code 98374-9241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841611522 Matthew Keen Dietitian, Registered 15308 136th Ave E, Puyallup, WA 98374-9241 2013-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073173977 Courtney Yant Registered Nurse 300 3rd St Se, Puyallup, WA 98374 2019-06-13
1013480508 Tracy Pina Massage Therapist 16909 123rd Ave E, Puyallup, WA 98374 2019-01-07
1922524917 Edith M Wood Registered Nurse 13517 152nd St Ct E, Puyallup, WA 98374 2017-08-21
1669875993 Jillian C S Longway Registered Nurse 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 2014-10-01
1427302025 Nadeem Jaffer Internal Medicine 3800 3rd St. Se, Puyallup, WA 98374 2012-11-04
1851605356 Madigan Army Medical Ctr Clinic/Center 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 2010-07-27
1326368135 Matt Karl Jahns Massage Therapist 2402 20th St Se, Puyallup, WA 98374 2010-06-03
1982833208 Roxy Sturgeon Speech-Language Pathologist 2309 43rd Ave Se, Puyallup, WA 98374 2009-07-08
1497921191 Morgan Counseling Services Inc. Substance Abuse Rehabilitation Facility 10312 120th Street East, Suite #3, Puyallup, WA 98374 2008-05-02
1700055795 Walter Royal Patterson Jr. Registered Nurse 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 2008-02-25
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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
1982262457 Viva Nutrition Counseling LLC Dietitian, Registered 13220 96th Avenue Ct E, Puyallup, WA 98373-5528 2019-05-30
1699338525 Mariah Lenker Dietitian, Registered 1002 39th Ave Sw Ste 200, Puyallup, WA 98373-3813 2019-04-16
1518451483 Sandra Pearce Dietitian, Registered 3712 9th St Sw Ste 1a, Puyallup, WA 98373-3564 2018-06-14
1144694738 Melissa Foor Dietitian, Registered 3912 10th St Se Ste C, Puyallup, WA 98374-2188 2015-11-19
1467879767 Jessica Kim Dietitian, Registered 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 2014-03-25
1295344067 Ali Nicole Coster Dietitian, Registered 1408 3rd St Se Ste 200, Puyallup, WA 98372-3702 2020-07-28
1194340349 Miroslava Anatolyevna Onishchenko Dietitian, Registered 1420 3rd St Se Ste 106, Puyallup, WA 98372-3730 2020-06-13
1467014951 Jessica Lynn Morris Dietitian, Registered 1002 39th Ave Sw Ste 200, Puyallup, WA 98373-3813 2019-07-03
1992362008 Sea-mar Community Health Center Dietitian, Registered 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 2019-05-23
1649833369 Travis Michael King Dietitian, Registered 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 2019-04-18
Find all providers in PUYALLUP

Competitor

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City PUYALLUP
Zip Code 98374

Improve Information

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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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