Sophia Elizabeth Charitou, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

10210 123Rd Street CT E Ste D
Puyallup, WA 98374-2634

Phone

(253) 227-4899

NPI assigned

Dec 2, 2022

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sophia Elizabeth Berg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nutrition Authority PLLC

  • Registered Dietitian
  • Puyallup, WA
  • NPI 1659782167

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1700596491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 122ND AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983722414",
            "telephone_number": "425-449-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 123RD STREET CT E STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742634",
            "telephone_number": "253-227-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARITOU",
        "first_name": "SOPHIA",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "BERG",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan L Chang, MD
• Tracy Chang, MD
• Sinard Chao, PHARMD
• Justin Edward Chapin
• Megan Lynn Charboneau, MD
• Megan Erin Leilani Charles
• Patricia Ann Charochak, D.O.
• Analisa Chase
• Phuong My Chau, PH.D.
• Amber Deann Chavez

• Registered Dietitian in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.