Active NPI
Alicia Pabilona
- Registered Dietitian
- Joint Base Lewis McChord, WA
National Provider Identifier
1902279631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1029454
- Practice address
- 9040 Reid St
Attn: MCHJ-CLQ-C
Joint Base Lewis McChord, WA 98431-1100 - Phone
- (253) 968-2252
- Fax
- (253) 968-3278
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1029454 | CA | Primary |
Addresses
Primary practice location
9040 Reid St
Attn: MCHJ-CLQ-C
Joint Base Lewis McChord, WA 98431-1100
Mailing address
9040 Reid St
Attn: MCHJ-CLQ-C
Joint Base Lewis McChord, WA 98431-1100
Phone (253) 968-2252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1029454 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 1 of Mason County | Current | Accepting new patients |
Locations
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
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.
-
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1902279631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 REID ST",
"address_2": "ATTN: MCHJ-CLQ-C",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 REID ST",
"address_2": "ATTN: MCHJ-CLQ-C",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABILONA",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1029454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.