Caroline Segall, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60482894 Issued in WA

Practice address

2202 S Cedar St
Ste 330
Tacoma, WA 98405-2318

Phone

(253) 272-5127

Fax

(253) 272-0811

NPI assigned

Sep 24, 2014

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1144622994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 S 23RD ST",
            "address_2": "STE 340",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051602",
            "telephone_number": "253-503-2598",
            "fax_number": "253-404-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S CEDAR ST",
            "address_2": "STE 330",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052318",
            "telephone_number": "253-272-5127",
            "fax_number": "253-272-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGALL",
        "first_name": "CAROLINE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60482894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PIERCE)",
            "identifier": "G001045700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR PTAN (KING)",
            "identifier": "G8933865",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (KING)",
            "identifier": "G000188100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR PTAN  (PIERCE)",
            "identifier": "G8933866",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa A Secora, PA
• Security Management and Integration Company, Inc.
• Christina Lynn Seeburger, MD
• Emily Marie Seelbach, CBT, LABA
• Mark Stanley Seeley
• Monique Nichole Segers, CNA
• Nathan Michael Segerson, M.D.
• Camille Seghesio, ATC
• Kearsten Elizabeth Sego
• Tyler L Seick, PA-C

• Registered Dietitian in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.