Active NPI
Robin L Beeson, MS, RDN, CD
- Registered Dietitian
- Tacoma, WA
National Provider Identifier
1528117637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001160
- Practice address
- 7808 Pacific Ave Ste 3
Tacoma, WA 98408-7039 - Phone
- (253) 503-6178
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI00001160 | WA | Primary |
Addresses
Primary practice location
7808 Pacific Ave Ste 3
Tacoma, WA 98408-7039
Mailing address
16027 81St Ave E
Puyallup, WA 98375-6867
Phone (253) 678-7617
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8284143 | Medicaid | WA | |
| 0039581 | Other | WA | LABOR AND INDUSTRIES # |
| US2557117 | Other | WA | AETNA SPECIALIST PIN |
| 710000663 | Other | WA | RAILROAD MC # |
| 7782BA | Other | WA | BLUE SHIELD # |
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 |
|---|---|---|---|
| DI00001160 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowered Health Corp | Current | Accepting new patients | |
| Prideaux-Blodgett LLC | Past | Accepting new patients |
Locations
7808 Pacific Ave
Ste 3
Tacoma, WA 98408
Phone (253) 473-7637
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Tacoma, WA
- NPI 1043834948
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1023431095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1528117637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16027 81ST AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756867",
"telephone_number": "253-678-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7808 PACIFIC AVE STE 3",
"city": "TACOMA",
"state": "WA",
"postal_code": "984087039",
"telephone_number": "253-503-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESON",
"first_name": "ROBIN",
"middle_name": "L",
"credential": "MS, RDN, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8284143",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "0039581",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN",
"identifier": "US2557117",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC #",
"identifier": "710000663",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "7782BA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.