Active NPI
Hannah Stipek, RDN
- Registered Dietitian
- Tacoma, WA
National Provider Identifier
1588219398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60975334
- Practice address
- Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-4416 - Phone
- (253) 968-2252
- NPI assigned
- Aug 8, 2019
- Last updated
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
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 | DI60975334 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-4416
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
3816 Bridgeport Way W
University Place, WA 98466-4416
Phone (253) 203-3996
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI60975334 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1588219398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984314416",
"telephone_number": "253-968-2252"
}
],
"practiceLocations": [
{
"address_1": "3816 Bridgeport Way W",
"address_purpose": "LOCATION",
"city": "University Place",
"state": "WA",
"postal_code": "984664416",
"country_code": "US",
"telephone_number": "253-203-3996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIPEK",
"first_name": "HANNAH",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-08",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60975334",
"primary": true
}
],
"identifiers": [],
"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 Nov 30, 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.