Active NPI
Cheryl S. Decker, MS, RD, CD
- Registered Dietitian
- Lake Forest Park, WA
National Provider Identifier
1629375043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1001838
- Practice address
- 18062 25TH Ave NE
Lake Forest Park, WA 98155-3906 - Phone
- (425) 736-5273
- Fax
- (206) 364-2156
- NPI assigned
- Feb 21, 2011
- 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 | 1001838 | WA | Primary |
Addresses
Primary practice location
18062 25TH Ave NE
Lake Forest Park, WA 98155-3906
Mailing address
18062 25TH Ave NE
Lake Forest Park, WA 98155-3906
Phone (425) 736-5273
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001838 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1629375043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18062 25TH AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981553906",
"telephone_number": "425-736-5273",
"fax_number": "206-364-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18062 25TH AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981553906",
"telephone_number": "425-736-5273",
"fax_number": "206-364-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "CHERYL",
"middle_name": "S.",
"credential": "MS, RD, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "1001838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.