Active NPI
Cheryl Hansen
- Registered Dietitian
- Federal Way, WA
National Provider Identifier
1689034126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60423936
- Practice address
- 34617 11TH PL S
Suite 300
Federal Way, WA 98003-8706 - Phone
- (253) 336-4142
- NPI assigned
- Feb 25, 2016
- Last updated
- Feb 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 | DI60423936 | WA | Primary |
Addresses
Primary practice location
34617 11TH PL S
Suite 300
Federal Way, WA 98003-8706
Mailing address
34617 11TH PL S
Suite 300
Federal Way, WA 98003-8706
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 |
|---|---|---|---|
| DI60423936 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1689034126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34617 11TH PL S",
"address_2": "SUITE 300",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34617 11TH PL S",
"address_2": "SUITE 300",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038706",
"telephone_number": "253-336-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60423936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.