Christa Diane Fonda, RD, CDR is a
Dietitian, Registered based in Bonney Lake, Washington. Christa Diane Fonda is licensed to practice in Washington (license number D160029159) and her current practice location is
10004 204th Ave E, Bonney Lake, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 863-7510.
NPI number for Christa Diane Fonda is 1891192282 and her current mailing address is Po Box 2170, Sumner, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891192282.
Healthcare Provider's Profile
Full Name | Christa Diane Fonda |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 10004 204th Ave E, Bonney Lake, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891192282
- Provider Enumeration Date: 12/01/2014
- Last Update Date: 12/01/2014
Medical Identifiers
Medical identifiers for Christa Diane Fonda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891192282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D160029159 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christa Diane Fonda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christa Diane Fonda, RD, CDR Po Box 2170, Sumner, WA 98390-0480 Ph: (253) 840-2313 | Christa Diane Fonda, RD, CDR 10004 204th Ave E, Bonney Lake, WA 98391-6539 Ph: (253) 863-7510 |
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