Individual provider Active NPI

Dana Michelle Ruch, CN

  • Nutritionist
  • Puyallup, WA
National Provider Identifier
1881364867
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU61200452 Issued in WA
Practice address
10210 123Rd Street CT E Ste D
Puyallup, WA 98374-2634
Phone
(253) 227-4899
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU61200452 WA Primary

Addresses

Primary practice location

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

Mailing address

14706 85TH Avenue CT E # 2020
South Hill, WA 98375-2504
Phone (125) 322-4533

Other practice location 1

14706 85th Avenue Ct E
South Hill, WA 98375-2504
Phone (253) 224-5330

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

LicenseStateTypeSpecialty
NU61200452WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Nolan Cohn LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1881364867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14706 85TH AVENUE CT E # 2020",
            "city": "SOUTH HILL",
            "state": "WA",
            "postal_code": "983752504",
            "telephone_number": "125-322-4533"
        },
        {
            "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": [
        {
            "address_1": "14706 85th Avenue Ct E",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "WA",
            "postal_code": "983752504",
            "country_code": "US",
            "telephone_number": "253-224-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCH",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU61200452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.