Kristine Sue Tecco, R.D., C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

706342D100001975 Issued in WA

Practice address

2590 Lone Tree Dr.
Ocean City, WA 98569

Phone

(360) 289-9448

NPI assigned

Dec 30, 2011

Last updated

Dec 30, 2011By the provider in NPPES

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific County Hospital District 2

  dba Willapa Harbor Hospital

  • Critical Access Hospital
  • South Bend, WA
  • NPI 1295708683
  Medicare reassignment NPD
• Pacific County Hospital District 2

  dba Willapa Medical Clinic

  • Rural Health Clinic/Center
  • South Bend, WA
  • NPI 1760582522
  NPD

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1609146141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 LONE TREE DRIVE",
            "city": "OCEAN CITY",
            "state": "WA",
            "postal_code": "98569",
            "telephone_number": "360-289-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 LONE TREE DR.",
            "city": "OCEAN CITY",
            "state": "WA",
            "postal_code": "98569",
            "telephone_number": "360-289-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECCO",
        "first_name": "KRISTINE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "R.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "706342D100001975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Beach School District

• Registered Dietitian in Ocean City, WA
• Providers in Ocean City, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.