Individual provider Active NPI

Debra Sue Defrates, RD

  • Registered Dietitian
  • Spokane, WA
National Provider Identifier
1699863738
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001883 Issued in WA
Practice address
601 W 1St Ave
Spokane, WA 99201-3825
Phone
(509) 474-5391
Fax
(509) 474-5393
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI00001883 WA Primary

Addresses

Primary practice location

601 W 1St Ave
Spokane, WA 99201-3825

Mailing address

PO Box 469
Spokane, WA 99210-0469
Phone (509) 474-5391

Other identifiers 2

IdentifierTypeStateIssuer
P00386781OtherWAMEDICARE RAILROAD
7122724MedicaidWA

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1699863738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100469",
            "telephone_number": "509-474-5391",
            "fax_number": "509-474-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 1ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013825",
            "telephone_number": "509-474-5391",
            "fax_number": "509-474-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRATES",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00386781",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7122724",
            "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 Dec 14, 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.

Verify at the official NPI Registry.