Individual provider Active NPI

Raneem Alkhatib, CD

  • Nutritionist
  • Puyallup, WA
National Provider Identifier
1124780903
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1004 E Main Ste D
Puyallup, WA 98372-3199
Phone
(253) 740-0977
Fax
(253) 466-7072
NPI assigned
Oct 9, 2021
Last updated
Oct 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

1004 E Main Ste D
Puyallup, WA 98372-3199

Mailing address

1004 E Main Ste D
Puyallup, WA 98372-3199
Phone (253) 740-0977

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RaneemAlkhatib@primehealthclinic.kareodirect.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Infusion Services LLC CurrentSince Oct 9, 2022 Accepting new patients

Locations

1004 E Main
Ste D
Puyallup, WA 98372
Phone (253) 268-0720

Interoperability endpoints

  • Direct secure messaging: raneemalkhatib@primehealthclinic.kareodirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1124780903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E MAIN STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723199",
            "telephone_number": "253-740-0977",
            "fax_number": "253-466-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E MAIN STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723199",
            "telephone_number": "253-740-0977",
            "fax_number": "253-466-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHATIB",
        "first_name": "RANEEM",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RaneemAlkhatib@primehealthclinic.kareodirect.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1004 E Main Ste D",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983723199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.