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1245474808 NPI number — MELANIE L LIPKE CD, RD, CDE

NPI Number: 1245474808
Health Care Provider/Practitioner: MELANIE L LIPKE CD, RD, CDE

Information about “1245474808” NPI (MELANIE L LIPKE CD, RD, CDE) exists in 1245474808 in HTML format HTML  |  1245474808 in plain Text format TXT  |  1245474808 in PDF (Portable Document Format) PDF  |  1245474808 in an XML format XML  formats.

NPI Number : 1245474808 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245474808",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIPKE",
    "FirstName": "MELANIE",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CD, RD, CDE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "909 N BROADWAY",
    "SecondLineMailingAddress": "PBO/CREDENTIALING",
    "MailingAddressCityName": "EVERETT",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98201-1409",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-317-0246",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "914 S SCHEUBER RD",
    "SecondLinePracticeLocationAddress": "DIABETES & NUTRITION PROGRAM",
    "PracticeLocationAddressCityName": "CENTRALIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98531-9027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-807-7907",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/27/2009",
    "LastUpdateDate": "01/16/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133NN1002X",
          "TaxonomyName": "Nutrition Education Nutritionist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "DI60068489",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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