Active NPI
Cheryl Quinn, MS, RDN
- Registered Dietitian
- Gig Harbor, WA
National Provider Identifier
1407280555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61025318
- Practice address
- 4205 59TH Street CT NW
Gig Harbor, WA 98335-8129 - Phone
- (253) 858-1694
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI61025318 | WA | Primary |
| Nutritionist | 133N00000X | NU60403861 | WA |
Addresses
Primary practice location
4205 59TH Street CT NW
Gig Harbor, WA 98335-8129
Mailing address
4205 59TH Street CT NW
Gig Harbor, WA 98335-8129
Phone (253) 858-1694
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NU60403861 | WA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1407280555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 59TH STREET CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983358129",
"telephone_number": "253-858-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 59TH STREET CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983358129",
"telephone_number": "253-858-1694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "CHERYL",
"name_prefix": "Ms.",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61025318",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "NU60403861",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4205 59th Street Ct NW",
"city": "Gig Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "983358129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.