Carissa Elida Switzer, MS, RD, CD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

998600 Issued in WA

Practice address

302 S 10TH Ave
Yakima, WA 98902-3521

Phone

(509) 575-1174

Fax

(509) 249-5265

NPI assigned

Aug 26, 2008

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

Other identifiers 2

Other names 1

• Carissa E Sundsmo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1124275771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023761",
            "telephone_number": "509-575-1174",
            "fax_number": "509-249-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 10TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023521",
            "telephone_number": "509-575-1174",
            "fax_number": "509-249-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWITZER",
        "first_name": "CARISSA",
        "middle_name": "ELIDA",
        "credential": "MS, RD, CD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "998600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN CERTIFICATION",
            "identifier": "60211282",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION OF DIETETIC REGISTRATION",
            "identifier": "998600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "SUNDSMO",
            "middle_name": "E",
            "credential": "RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernard L. Swartz, MD
• Sweet Miracles LLC
• Vanda Brook Sweetwood, RN
• Husam Amjad Sweidan, PHARMD
• Melissa Swensen
• Justin Syring
• Sarah Syring
• Adrienne Szabo, ARNP
• Sean M Tabayoyon
• Callie N Tabert

• Registered Dietitian in Yakima, WA
• Providers in Yakima, 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 20, 2021; 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.