Active NPI
Judith L Engel, R.D.
- Registered Dietitian
- Spokane, WA
National Provider Identifier
1649482654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- Shriners Hospital for Children Spokane
911 W 5TH Avenue
Spokane, WA 99210-2472 - Phone
- (509) 744-1242
- NPI assigned
- May 3, 2007
- Last updated
- Jul 9, 2007
- 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 | NU | Primary |
Addresses
Primary practice location
Shriners Hospital for Children Spokane
911 W 5TH Avenue
Spokane, WA 99210-2472
Mailing address
614 2ND Street
Cheney, WA 99004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7660327 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649482654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 2ND STREET",
"city": "CHENEY",
"state": "WA",
"postal_code": "99004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SHRINERS HOSPITAL FOR CHILDREN SPOKANE",
"address_2": "911 W 5TH AVENUE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992102472",
"telephone_number": "509-744-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "JUDITH",
"middle_name": "L",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7660327",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.