Active NPI
Tanya Gallo, RDN, LDN, CDCES
- Registered Dietitian
- Bellingham, WA
National Provider Identifier
1194109322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60556488
- Practice address
- 1407 Sweetbay Dr
Bellingham, WA 98229-5361 - Phone
- (508) 212-6506
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 60556488 | WA | |
| Registered Dietitian | 133V00000X | DI60556488 | WA | Primary |
Addresses
Primary practice location
1407 Sweetbay Dr
Bellingham, WA 98229-5361
Mailing address
1407 Sweetbay Dr
Bellingham, WA 98229-5361
Phone (508) 212-6506
Other names 1
- Tanya Belrose
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 |
|---|---|---|---|
| 60556488 | WA | MD | Registered Dietitian |
| DI60556488 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Nutrition by Tanya | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1194109322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 SWEETBAY DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982295361",
"telephone_number": "508-212-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 SWEETBAY DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982295361",
"telephone_number": "508-212-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "TANYA",
"credential": "RDN, LDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60556488",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60556488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "BELROSE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.