Individual provider Active NPI

Chona Lorico, RDN, IBCLC

  • Registered Dietitian
  • Montesano, WA
National Provider Identifier
1427420678
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI 00000758 Issued in WA
Practice address
975 N Stephenson Dr
Montesano, WA 98563
Phone
(360) 500-4045
Fax
(360) 533-6272
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI 00000758 WA Primary

Addresses

Primary practice location

975 N Stephenson Dr
Montesano, WA 98563

Mailing address

975 N Stephenson Dr
Montesano, WA 98563-1314
Phone (360) 500-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001287 WA Practitioner - Registered Dietitian Or Nutrition Professional 9638474901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3815 S Othello St
FL 2
Seattle, WA 98118-3510
Phone (206) 788-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI 00000758WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services Current Accepting new patients
International Community Health Services CurrentSince Jan 13, 2016 Accepting new patients
International Community Health Services CurrentSince Jan 13, 2016 Accepting new patients

Locations

1050 140th Ave NE
Bellevue, WA 98005
Phone (425) 373-3000

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770

16549 Aurora Ave N
Shoreline, WA 98133
Phone (206) 533-2600

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1427420678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N STEPHENSON DR",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985631314",
            "telephone_number": "360-500-4045",
            "fax_number": "360-533-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N STEPHENSON DR",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "98563",
            "telephone_number": "360-500-4045",
            "fax_number": "360-533-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORICO",
        "first_name": "CHONA",
        "credential": "RDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 00000758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montesano, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.