Active NPI
Breanne McIntyre, RDN
- Registered Dietitian
- Moses Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DIET.DI.61117917
- Practice address
- 2000 S Clover Dr
Moses Lake, WA 98837-4417 - Phone
- (509) 793-9605
- Fax
- (509) 764-3203
- NPI assigned
- Oct 22, 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 | DIET.DI.61117917 | WA | Primary |
Addresses
Primary practice location
2000 S Clover Dr
Moses Lake, WA 98837-4417
Mailing address
1616 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 793-9715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173383 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI61117917 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606
2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606
1616 S Pioneer Way
Moses Lake, WA 98837
840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400
660 S Coolidge St
Moses Lake, WA 98837
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1619086766
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1609112739
-
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1366041188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 S PIONEER WAY",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372487",
"telephone_number": "509-793-9715",
"fax_number": "509-764-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S CLOVER DR",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988374417",
"telephone_number": "509-793-9605",
"fax_number": "509-764-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "BREANNE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DIET.DI.61117917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2173383",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.