Active NPI
Franco Lopez III, RD
- Registered Dietitian
- Tonasket, WA
National Provider Identifier
1124431127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60322454
- Practice address
- 203 S Western Ave
Tonasket, WA 98855-8803 - Phone
- (509) 486-2784
- Fax
- (509) 486-4637
- NPI assigned
- Jun 6, 2014
- Sex
- Male
- 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 Dietitian | 133V00000X | DI60322454 | WA | Primary |
Addresses
Primary practice location
203 S Western Ave
Tonasket, WA 98855-8803
Mailing address
203 S. Western Ave
C/O: Credentialing
Tonasket, WA 98855-2028
Phone (509) 486-3144
Other practice location 1
916 Koala Dr
Omak, WA 98841-9759
Phone (509) 663-8711
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI60322454 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1124431127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S. WESTERN AVE",
"address_2": "C/O: CREDENTIALING",
"city": "TONASKET",
"state": "WA",
"postal_code": "988552028",
"telephone_number": "509-486-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S WESTERN AVE",
"city": "TONASKET",
"state": "WA",
"postal_code": "988558803",
"telephone_number": "509-486-2784",
"fax_number": "509-486-4637"
}
],
"practiceLocations": [
{
"address_1": "916 Koala Dr",
"address_purpose": "LOCATION",
"city": "Omak",
"state": "WA",
"postal_code": "988419759",
"country_code": "US",
"telephone_number": "509-663-8711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "FRANCO",
"name_suffix": "III",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60322454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tonasket, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.