| Imashi Fernando, MS, RD | |
|
3901 Hoyt Ave, Everett, WA 98201-4918 | |
| (425) 339-5431 | |
| (425) 257-1423 |
| Full Name | Imashi Fernando |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3901 Hoyt Ave, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891319513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI61079597 (Washington) | Primary |
| Provider Name | The Polyclinic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Provider Name | Optum Care Washington Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Imashi Fernando, MS, RD Po Box 5127, Everett, WA 98206-5127 Ph: (206) 860-5414 | Imashi Fernando, MS, RD 3901 Hoyt Ave, Everett, WA 98201-4918 Ph: (425) 339-5431 |
Kathleen A Whalen, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-3876 | |
Carolyn Zhaleh Gazori, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13723 Puget Park Dr, Everett, WA 98208 Phone: 425-337-0123 Fax: 425-316-8031 | |
Madeline Marie Neff, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2615 W Casino Rd Ste 3j, Everett, WA 98204 Phone: 425-513-2555 Fax: 425-513-0886 | |
Mrs. Monica Allene Pfaff, RD,CD Dietitian Medicare: Medicare Enrolled Practice Location: 900 Pacific Ave, First Floor, Everett, WA 98201 Phone: 425-258-7311 Fax: 425-258-7618 | |
Linda Hawkins Persson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3020 Rucker Ave, Suite 203, Everett, WA 98201 Phone: 425-339-8662 | |
Evelyn Woods, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12728 19th Ave Se, Suite 300, Everett, WA 98208 Phone: 425-367-1718 | |
Ciera Buzzell, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11627 Airport Rd, Suite B, Everett, WA 98204 Phone: 425-290-1261 |