Korrin Fotheringham, MS, RDN, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI 60504831 Issued in WA

Practice address

400 S Jefferson St Ste 200E
Spokane, WA 99204-3149

Phone

(425) 922-2303

NPI assigned

Jan 20, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1467841015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19818 N NORTHWOOD DR",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219792",
            "telephone_number": "425-922-2303",
            "fax_number": "509-931-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 200E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043149",
            "telephone_number": "425-922-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16528 E Desmet Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163522",
            "country_code": "US",
            "telephone_number": "509-474-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19818 N Northwood Dr",
            "address_purpose": "LOCATION",
            "city": "Mead",
            "state": "WA",
            "postal_code": "990219792",
            "country_code": "US",
            "telephone_number": "425-922-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOTHERINGHAM",
        "first_name": "KORRIN",
        "credential": "MS, RDN, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60504831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Spokane, WA
• Providers in Spokane, WA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.