Daniel John Klocke, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001759 Issued in WA

Practice address

33431 13TH PL S
Federal Way, WA 98003-6357

Phone

(206) 205-6993

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083784334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33431 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "206-205-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33431 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "206-205-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCKE",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8447724",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis W Klemmer, RPH
• Rajwant Kler
• Jaime Leigh Klippert Fajardo, D.O.
• Deborah Kloby, D.C.
• Jay Kloby, MD
• Lauren Kmiechick
• Carly Jean Knapp, PH.D.
• Cari Knight, LMP
• Robynne Knight, L.AC, EAMP
• Lindsey Knights

• Registered Dietitian in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.