Active NPI
Marie B Hubbard, DTR
- Registered Dietetic Technician
- Ft Lewis, WA
National Provider Identifier
1114981016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietetic Technician
- Practice address
- Madigan Army Medical Center
Medical Nutrition Therapy Branch
Ft Lewis, WA 98433 - Phone
- (253) 968-0544
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietetic Technician | 136A00000X | Primary |
Addresses
Primary practice location
Madigan Army Medical Center
Medical Nutrition Therapy Branch
Ft Lewis, WA 98433
Mailing address
4334 Clearwater Loop SE
Lacey, WA 98503-4437
Phone (360) 413-7389
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114981016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 CLEARWATER LOOP SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985034437",
"telephone_number": "360-413-7389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER",
"address_2": "MEDICAL NUTRITION THERAPY BRANCH",
"city": "FT LEWIS",
"state": "WA",
"postal_code": "98433",
"telephone_number": "253-968-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "MARIE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "DTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "136A00000X",
"taxonomy_group": "",
"desc": "Dietetic Technician, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lewis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.