MR. MATTHEW GLEN KOONTZ (NPI# 1821609678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821609678 |
Entity Type | Individual |
Full Name | MR. MATTHEW GLEN KOONTZ |
Credential | DTR |
Practice Address |
507 Ne Northgate Way Apt 139 Seattle WA 98125-6185 |
Practice Telephone | 9132060608 |
Enumeration Date | 2020-08-14 |
Last Update Date | 2020-08-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
Street Address |
507 NE NORTHGATE WAY APT 139 |
City | SEATTLE |
State | WA |
Zip Code | 98125-6185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
Find all providers in zip 98125 |
Taxonomy Code | 136A00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietetic Technician, Registered |
A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740890177 | Karen Mclellan | Dietetic Technician, Registered | 9556 Sand Point Way Ne Apt 1, Seattle, WA 98115-2652 | 2020-07-31 |
1831560218 | Ashton Daniel | Dietetic Technician, Registered | 1700 Westlake Ave N, 700, Seattle, WA 98109-3012 | 2015-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053950519 | Krishna Shah | Dietetic Technician, Registered | 136 102nd Ave Se Apt 405, Bellevue, WA 98004-8144 | 2020-01-02 |
1295193084 | Leila Davis | Dietetic Technician, Registered | 17806 80th Ave Ne, Kenmore, WA 98028-1806 | 2016-02-08 |
1881083988 | Mary Clare Kelley | Dietetic Technician, Registered | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2015-01-13 |
1053513341 | Melissa Ann Everson | Dietetic Technician, Registered | 360 Nw North St, Chehalis, WA 98532-1925 | 2007-05-31 |
1568553378 | Carol Lynn Smith | Dietetic Technician, Registered | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-09-27 |
1114981016 | Marie B Hubbard | Dietetic Technician, Registered | Madigan Army Medical Center, Medical Nutrition Therapy Branch, Ft Lewis, WA 98433 | 2006-04-17 |
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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.