Robert Wayne Demko, C.N.

Primary specialty

NutritionistTaxonomy code 133N00000X

License

CN 60687076 Issued in WA

Practice address

2522 N Proctor St # 425
Tacoma, WA 98406-5338

Phone

(844) 705-0990

Fax

(253) 444-0514

NPI assigned

Sep 13, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1063960615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N PROCTOR ST # 425",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065338",
            "telephone_number": "844-705-0990",
            "fax_number": "253-444-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 N PROCTOR ST # 425",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065338",
            "telephone_number": "844-705-0990",
            "fax_number": "253-444-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKO",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "C.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "CN 60687076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Adeline Demichiel
• Jessica Ruth Demick, LMHC
• Eileen Ruby Deming, PAC
• Keith E Demirjian, MD
• Gisela Lourdes Demko, MA
• Colette Demonte, PSY.D.
• Callum Mellor Dempsey, D.O.
• Patricia Irene Dempsey, PH.D.
• David W Dempster, MD
• Logan Andrew Denen

• Nutritionist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.