Active NPI
Maria Grace McWade, RD
- Registered Dietitian
- Colfax, WA
National Provider Identifier
1548815319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60950227
- Practice address
- 1200 W Fairview St
Colfax, WA 99111-9552 - Phone
- (509) 397-3435
- NPI assigned
- Aug 7, 2019
- Last updated
- Aug 7, 2019
- 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 | DI60950227 | WA | Primary |
Addresses
Primary practice location
1200 W Fairview St
Colfax, WA 99111-9552
Mailing address
1275 SW Big Sky CT
Pullman, WA 99163-5278
Phone (719) 623-4873
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI60950227 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1548815319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 SW BIG SKY CT",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635278",
"telephone_number": "719-623-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W FAIRVIEW ST",
"city": "COLFAX",
"state": "WA",
"postal_code": "991119552",
"telephone_number": "509-397-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWADE",
"first_name": "MARIA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60950227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colfax, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.