Sierra Jeneal Stamm, RD CD | |
4208 198th St Sw, 101b, Lynnwood, WA 98036-6735 | |
(425) 210-8016 | |
Not Available |
Full Name | Sierra Jeneal Stamm |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4208 198th St Sw, Lynnwood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225348642 | NPI | - | NPPES |
964668 | Other | WA | COMMISSION ON DIETETIC REGISTRATION |
DI 60058984 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH DIETICIAN CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI 60058984 (Washington) | Primary |
Provider Name | Edisonhealth Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447850912 PECOS PAC ID: 7214332220 Enrollment ID: O20220811003837 |
Mailing Address | Practice Location Address |
---|---|
Sierra Jeneal Stamm, RD CD 13619 Mukilteo Speedway, Ste D5 #172, Lynnwood, WA 98087-1626 Ph: (425) 210-8016 | Sierra Jeneal Stamm, RD CD 4208 198th St Sw, 101b, Lynnwood, WA 98036-6735 Ph: (425) 210-8016 |
Miss Johanna Nicole Dibble, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 Phone: 425-776-0803 Fax: 425-776-0813 | |
Mrs. Erica Catherine Polney, MS RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5026 196th St Sw, Lynnwood, WA 98036 Phone: 425-740-8571 | |
Chelsea Whealdon Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15332 Cascadian Way, Lynnwood, WA 98087 Phone: 206-388-8282 | |
Sea Mar Chc Lynnwood Mss Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4111 Alderwood Mall Blvd, Lynnwood, WA 98036 Phone: 206-764-3335 | |
Megan Marie Houchin, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5026 196th St Sw, Lynnwood, WA 98036 Phone: 425-290-1243 | |
Mrs. Heidi Kristine Strickler, RDN CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4720 200th St Sw, Lynnwood, WA 98036 Phone: 425-776-0803 |