Raneem Alkhatib, CD
Individual provider Active NPI Nutritionist · Puyallup, WA
NPI 1124780903 · NPPES record last updated Oct 9, 2021
Key facts
- NPI
- 1124780903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Infusion Services LLC | Current |
Accepting new patients |
Locations
1004 E Main
Ste D
Puyallup, WA 98372
Phone (253) 268-0720
Interoperability endpoints
- raneemalkhatib@primehealthclinic.kareodirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RaneemAlkhatib@primehealthclinic.kareodirect.com |
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.