Active NPI
Theresa Anne Devers, DIETICIAN, CHC
- Nutrition Education Nutritionist
- Tacoma, WA
National Provider Identifier
1285094425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 603291211
- Practice address
- 14116 50TH Ave E
Tacoma, WA 98446-4163 - Phone
- (253) 318-8110
- Fax
- (253) 531-1159
- NPI assigned
- Mar 1, 2016
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 603291211 | WA | Primary |
Addresses
Primary practice location
14116 50TH Ave E
Tacoma, WA 98446-4163
Mailing address
14116 50TH Ave E
Tacoma, WA 98446-4163
Phone (253) 318-8110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603291211 | WA | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1285094425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14116 50TH AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984464163",
"telephone_number": "253-318-8110",
"fax_number": "253-531-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14116 50TH AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984464163",
"telephone_number": "253-318-8110",
"fax_number": "253-531-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVERS",
"first_name": "THERESA",
"middle_name": "ANNE",
"credential": "DIETICIAN, CHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-01",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "WA",
"license": "603291211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.