NPIMap

Organization Active NPI

Franciscan Medical Group

Doing business as Franciscan Diabetes Services

  • Registered Dietitian
  • Lakewood, WA
National Provider Identifier
1669708590
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FRANCISCAN MEDICAL GROUP
Doing business as
Franciscan Diabetes Services
Practice address
11311 Bridgeport Way SW
Ste 304
Lakewood, WA 98499-3071
Phone
(253) 426-6753
Fax
(253) 426-6014
NPI assigned
Oct 28, 2009
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dean Field, MDNPI 1710901400
Title
Cmo
Phone
(253) 858-9192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

11311 Bridgeport Way SW
Ste 304
Lakewood, WA 98499-3071

Mailing address

11311 Bridgeport Way SW
Ste 304
Lakewood, WA 98499-3071
Phone (253) 426-6753

Other names 1

  • Franciscan Diabetes Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Medical Grou19 organizations share this tax ID, including this one
Part of
Franciscan Medical Grou

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1669708590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "STE 304",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-426-6753",
            "fax_number": "253-426-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "STE 304",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-426-6753",
            "fax_number": "253-426-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "253-858-9192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Diabetes Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.