Mary K Aardal, R.D.
Individual provider Active NPI Registered Dietitian · Moses Lake, WA
NPI 1659570489 · NPPES record last updated Jul 12, 2007
Key facts
- NPI
- 1659570489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DI00001648 (WA)
- Practice address
- 605 S Coolidge St
Moses Lake, WA 98837-1893 - Phone
- (509) 765-0674
- Fax
- (509) 765-6591
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Lake Community Health Center | Past | Accepting new patients | |
| Moses Lake Community Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI00001648 | WA | Yes |
Addresses
Primary practice location
605 S Coolidge St
Moses Lake, WA 98837-1893
Mailing address
605 S Coolidge St
Moses Lake, WA 98837-1893
Phone (509) 765-0674
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9366AA | Other | WA | ASURIS NORTHWEST HEALTH |
| 8422917 | Medicaid | WA |
Other providers in Moses Lake, WA
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- 1405 S. Monroe Street Operations LLC
- 817 East Plum Street Opco, LLC
- 817 East Plum Street Operations LLC
- Aaa Hospitalist Inc
- Alexis Alexandra Abrahams- Little
- Selene M Acosta-Gonzalez
- Samuel Ryan Stevens Adcock
- Carla Ann Cenatiempo Adkins
- Elisa M Adolphsen
All providers in Moses Lake, WA · Registered Dietitian in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.