Mami Sorajo, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI 00001474 Issued in WA

Practice address

2904 4TH Ave NE
Ste 300
Puyallup, WA 98372-7053

Phone

(253) 840-6448

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

International Community Health ServicesGroup PAC ID 5799695672, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• International Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1376659151
  Medicare reassignment Care Compare group NPD
• International Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bellevue, WA
  • NPI 1114363157
  NPD
• International Community Health Services

  dba ICHS at Sound Auburn

  • Federally Qualified Health Center (FQHC)
  • Auburn, WA
  • NPI 1831910439
  NPD

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1093146292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2170",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983900480",
            "telephone_number": "253-840-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 4TH AVE NE",
            "address_2": "STE 300",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727053",
            "telephone_number": "253-840-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORAJO",
        "first_name": "MAMI",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 00001474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Marie Somerville, RN
• Amanda M Sommerfeld, LMHC
• Cynthia Ann Sondker, RN
• Sam Hwa Song, MD
• Sonus-USA, Inc.
• Karen Lynn Sorensen, LMP
• Ronald S Sorensen, DPM
• Marvin Soriano, PA-C
• Jessica Sorokovskaya
• Faith Sosa, COTA

• Registered Dietitian in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.