Active NPI
Tisha Whatcott, RD
- Registered Dietitian
- Colville, WA
National Provider Identifier
1639789795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-497
- Practice address
- 1000 E Elep Ave
Colville, WA 99114-5014 - Phone
- (509) 684-2573
- NPI assigned
- Aug 4, 2020
- 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 | D-497 | ID | Primary |
Addresses
Primary practice location
1000 E Elep Ave
Colville, WA 99114-5014
Mailing address
PO Box 251
Kingston, ID 83839-0251
Phone (208) 512-9028
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 |
|---|---|---|---|
| D-497 | ID | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1639789795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "KINGSTON",
"state": "ID",
"postal_code": "838390251",
"telephone_number": "208-512-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E ELEP AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991145014",
"telephone_number": "509-684-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATCOTT",
"first_name": "TISHA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.