Adina B Pearson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001534 Issued in WA

Practice address

19 E Birch St Ste 102
Walla Walla, WA 99362-3205

Phone

(509) 295-2923

Fax

(509) 396-5520

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Adina B Tapu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Adina Pearson Nutrition

  • Registered Dietitian
  • Walla Walla, WA
  • NPI 1487173639

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1467661090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N COLLEGE AVE UNIT 1",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241022",
            "telephone_number": "509-295-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E BIRCH ST STE 102",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623205",
            "telephone_number": "509-295-2923",
            "fax_number": "509-396-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ADINA",
        "middle_name": "B",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADINA",
            "last_name": "TAPU",
            "middle_name": "B",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristan Ann Patterson-Fowler, LICSW
• Barry Patzer
• Shelby Paulsen
• Teresa L Pavish-Paradiso, MSW/LICSW
• Keith Edward Payne, LMHC
• Bonnie Pearson, R.N.
• Randolph C Pearson, D.D.S.
• Esmeralda Jazmine Pedroza
• Clara Peninger
• Cleapatra Rose Perez

• Registered Dietitian in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.