Julie A Kuchtyn, C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001774 Issued in WA

Practice address

601 S James Ave
East Wenatchee, WA 98802-5697

Phone

(509) 679-3128

NPI assigned

Dec 20, 2006

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 identifiers 1

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 and National Provider Directory roles.

• Moses Lake Community Health Center

  • Student Health Clinic/Center
  • Quincy, WA
  • NPI 1730756644
  NPD (past)
• Moses Lake Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Moses Lake, WA
  • NPI 1831380518
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1801950423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N JENNIFER LN",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988026013",
            "telephone_number": "509-955-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S JAMES AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025697",
            "telephone_number": "509-679-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHTYN",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "C.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8454084",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Kortan, LMP
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• Christopher Ryan Krueger, D.C.
• Daniel Krueger, DPT
• Marla Jeanne Krueger, LMP
• Russell Steven Lake, O.D.
• Brittney Lynn Lamb
• Karl W Lambert, ARNP
• Debra Lapo, MD
• Carol Jean Larson, LMP/SAMP

• Registered Dietitian in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.