Active NPI
Miroslava Anatolyevna Onishchenko
- Registered Dietitian
- Puyallup, WA
National Provider Identifier
1194340349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1420 3Rd St SE Ste 106
Puyallup, WA 98372-3730 - Phone
- (253) 268-0720
- NPI assigned
- Jun 13, 2020
- Last updated
- Jun 13, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1420 3Rd St SE Ste 106
Puyallup, WA 98372-3730
Mailing address
2029 Field Ave NE
Renton, WA 98059-4134
Phone (253) 269-2967
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592006400000",
"number": "1194340349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 FIELD AVE NE",
"city": "RENTON",
"state": "WA",
"postal_code": "980594134",
"telephone_number": "253-269-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 3RD ST SE STE 106",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723730",
"telephone_number": "253-268-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONISHCHENKO",
"first_name": "MIROSLAVA",
"middle_name": "ANATOLYEVNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-13",
"last_updated": "2020-06-13",
"certification_date": "2020-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.