Active NPI
Sophia Kathryn Dunlap, REGISTERED DIETITIAN
- Registered Dietitian
- Grandview, WA
National Provider Identifier
1366034977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 61044951
- Practice address
- 1000 Wallace Way
Grandview, WA 98930-8805 - Phone
- (509) 882-3444
- NPI assigned
- Feb 4, 2021
- 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 | 61044951 | WA | Primary |
Addresses
Primary practice location
1000 Wallace Way
Grandview, WA 98930-8805
Mailing address
1000 Wallace Way
Grandview, WA 98930-8805
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 |
|---|---|---|---|
| 61044951 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Dietitian, Registered | Current | Accepting new patients |
| Strategic Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- sophiadunlap@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1366034977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WALLACE WAY",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989308805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALLACE WAY",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989308805",
"telephone_number": "509-882-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "SOPHIA",
"middle_name": "KATHRYN",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "61044951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.