Individual provider Active NPI

Lauren Margaret Puhek, MS RDN CD

  • Registered Dietitian
  • Spokane, WA
National Provider Identifier
1083086508
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI60602252 Issued in WA
Practice address
325 S Univeristy Road
Suite 202
Spokane, WA 99206
Phone
(509) 868-1580
Fax
(888) 664-0363
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI60602252 WA Primary

Addresses

Primary practice location

325 S Univeristy Road
Suite 202
Spokane, WA 99206

Mailing address

1912 S Vera Crest Drive
Veradale, WA 99037
Phone (509) 868-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI60602252WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1083086508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 S VERA CREST DRIVE",
            "city": "VERADALE",
            "state": "WA",
            "postal_code": "99037",
            "telephone_number": "509-868-1580",
            "fax_number": "888-664-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S UNIVERISTY ROAD",
            "address_2": "SUITE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-868-1580",
            "fax_number": "888-664-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUHEK",
        "first_name": "LAUREN",
        "middle_name": "MARGARET",
        "name_prefix": "Miss",
        "credential": "MS RDN CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60602252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.