Joan Brookhyser Hogan, RD, CSR, CD, CLT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI 00000644 Issued in WA

Practice address

706 33Rd Ave NW
Gig Harbor, WA 98335-7884

Phone

(253) 307-5381

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Joan Elizabeth Brookhyser Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joan.hogan.1@29018.direct.athenahealth.com

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.

• South Puget Sound Neurology, PLLC

  • Neurology Physician
  • Tacoma, WA
  • NPI 1194052357
  Medicare reassignment NPD
• Commonspirit Washington

  dba Franciscan Pharmacy Tacoma

  • Community/Retail Pharmacy
  • Tacoma, WA
  • NPI 1346588548
  NPD (past)
• Patrick J. Hogan III, D.O.

  dba Puget Sound Neurology

  • Neurology Physician
  • Tacoma, WA
  • NPI 1871649285
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1982840450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 33RD AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357884",
            "telephone_number": "253-307-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 33RD AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357884",
            "telephone_number": "253-307-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JOAN",
        "middle_name": "BROOKHYSER",
        "name_prefix": "Ms.",
        "credential": "RD, CSR, CD, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 00000644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11893415",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "BROOKHYSER",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "RD, CSR, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelita Black Hiraldo, MSW
• Michele Marquet Hirsig
• Linda Hiser, OTR
• Busaba Hoegen
• Matthew Thompson Hoertkorn, D.O.
• Jennifer Lynn Hogge, MFT
• Erin Hohol, LMHCA
• Troy H Holder, D.C.
• Marcella Mae Holland, LMT
• Jacob D Holley, RBT

• Registered Dietitian in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.