Prem Sagar Dev, N.D.

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

NT00001567 Issued in WA

Practice address

7601 Traditions Ave NE
Lacey, WA 98516-1335

Phone

(360) 455-8785

Fax

(360) 455-8785

NPI assigned

Jan 19, 2009

Last updated

Jan 19, 2009By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1578700175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 TRADITIONS AVE NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161335",
            "telephone_number": "360-455-8785",
            "fax_number": "360-455-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 TRADITIONS AVE NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161335",
            "telephone_number": "360-455-8785",
            "fax_number": "360-455-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEV",
        "first_name": "PREM",
        "middle_name": "SAGAR",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "NT00001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lezon Dennehy, BA, AAC
• Dental Care by Design
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Family Dentistry on Lacey)
• Department of Social and Health Services
• Savanah Caroline Depew
• Kathryn Dewitt
• Diamond Medical Staffing
• Nicole C Diamond, LMP
• Ashley Diaz
• Kathryn Rose Dickinson

• Nutrition Education Nutritionist in Lacey, WA
• Providers in Lacey, WA by specialty
• Nutrition Education Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.