MR. MATTHEW GLEN KOONTZ


Address: 507 Ne Northgate Way Apt 139, Seattle, WA 98125-6185
Phone: 9132060608

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 507 NE NORTHGATE WAY APT 139
City SEATTLE
State WA
Zip Code 98125-6185

Providers in the same zip code

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 Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City SEATTLE
Zip Code 98125

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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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