Sophia Bosse, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60515915 Issued in WA

Practice address

11703 E Sprague Ave
Spokane Valley, WA 99206-6128

Phone

(509) 921-6560

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sophia Fong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1366996167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 E SPRAGUE AVE STE C3",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066129",
            "telephone_number": "509-921-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11703 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066128",
            "telephone_number": "509-921-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSE",
        "first_name": "SOPHIA",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60515915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "FONG",
            "credential": "RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamiee L Booher, HCA,NAR
• Austin M Borden, RD
• Mary Borgman, MSW, LICSW
• Anthony D Bosley Sr.
• Journey Bosley
• Aubrey Jean Bot
• Kathryn Bough, PHARMACY TECHNICIAN
• Helaina Yvonne Stanyer Boulieris, O.D.
• George James Bourekis, DDS
• Brandon Boutain

• Registered Dietitian in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.