Bethany A Deschamps, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT06619 Issued in TX

Practice address

Madigan Army Medical Ctr 9040 Jackson Avenue
Joint Base Lewis McChord, WA 98431-1110

Phone

(785) 239-8612

Fax

(785) 239-7364

NPI assigned

Sep 8, 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 names 1

• Mrs. Bethany A Belanger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1821192063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "9040 JACKSON AVENUE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311110",
            "telephone_number": "785-239-8612",
            "fax_number": "785-239-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311110",
            "telephone_number": "785-239-8612",
            "fax_number": "785-239-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHAMPS",
        "first_name": "BETHANY",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT06619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "BELANGER",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Dassoff
• Mia Danielle Debarros, MD
• Susan Elane Delozierhooks, PA
• Jordan Demay
• Megan M Derazin
• Ryne Maddox Deyoe, DO
• William Francis Dirkes, MD
• Eric Logan Dorner
• Kristina Omalley Dubow, CNM, APRN, RN
• James Lenard Duncan II, PA-C

• Registered Dietitian in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.