Denae R Bastian, RD is a
Nutritionist - Nutrition, Education based in Everett, Washington. Denae R Bastian is licensed to practice in Washington (license number DI00001618) and her current practice location is
900 Pacific Ave, 1st Floor, Everett, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 258-7311.
NPI number for Denae R Bastian is 1508952748 and her current mailing address is Po Box 1166, Everett, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508952748.
Healthcare Provider's Profile
| Full Name | Denae R Bastian |
|---|
| Gender | Female |
|---|
| Speciality | Nutritionist - Nutrition, Education |
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| Location | 900 Pacific Ave, Everett, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508952748
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Denae R Bastian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508952748 | NPI | - | NPPES |
| 8429615 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DI00001618 (Washington) | Primary |
| 133N00000X | Nutritionist | DI00001618 (Washington) | Primary |
| 133NN1002X | Nutritionist - Nutrition, Education | DI00001618 (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. Denae R Bastian 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 |
|---|
Denae R Bastian, RD
Po Box 1166,
Everett, WA 98206-1166
Ph: (425) 258-7357 | Denae R Bastian, RD
900 Pacific Ave, 1st Floor,
Everett, WA 98201-4168
Ph: (425) 258-7311 |
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