MEDICARE: BRITTANY FOX RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1720939267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY FOX RD

Provider Business Mailing Address
First Line	:	829 207TH AVE NE
Second Line	:
City	:	SAMMAMISH
State	:	WA
Zip	:	98074-6645
Country	:	US
Telephone Number	:	484-896-0477
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 207TH AVE NE
Second Line	:
City	:	SAMMAMISH
State	:	WA
Zip	:	98074-6645
Country	:	US
Telephone Number	:	484-896-0477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ BRITTANY FOX RD” Practice Location

Language	Start Address	Practice Location

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