| Mr Nicholas Albert Berretta, RDN, CD | |
|
10634 E Riverside Dr Ste 250, Bothell, WA 98011-3759 | |
| (425) 949-7626 | |
| (425) 949-5413 |
| Full Name | Mr Nicholas Albert Berretta |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 9 Years |
| Location | 10634 E Riverside Dr Ste 250, Bothell, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235796376 | NPI | - | NPPES |
| 1033254115 | Medicaid | WA | |
| 1669938536 | Medicaid | WA | |
| 1891802146 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 60863913 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Puyallup Tribal Health Authority | 9436047537 | 33 |
| Provider Name | Puyallup Tribal Health Authority |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063455665 PECOS PAC ID: 9436047537 Enrollment ID: O20040309001482 |
| Provider Name | Emily Program P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Albert Berretta, RDN, CD Po Box 12242, Seattle, WA 98102-0242 Ph: (509) 528-5011 | Mr Nicholas Albert Berretta, RDN, CD 10634 E Riverside Dr Ste 250, Bothell, WA 98011-3759 Ph: (425) 949-7626 |
Melinda Yunker, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10808 Ne 145th St, Bothell, WA 98011 Phone: 206-296-9787 Fax: 206-296-9826 | |
Savina Pisan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4026 224th St Se # 6, Bothell, WA 98021 Phone: 920-840-3119 | |
Elizabeth S Kraft, MSN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12610 Ne 180th St Apt Cc202, Bothell, WA 98011 Phone: 603-333-8648 | |
Ashley Hensarling, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18708 126th Ave Ne Apt 2603, Bothell, WA 98011 Phone: 760-220-1298 | |
Emily Anne Larose, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10808 Ne 145th St, Bothell, WA 98011 Phone: 206-296-9813 | |
Regents Dietitian Services Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1621 Seattle Hill Rd Apt F1, Bothell, WA 98012 Phone: 612-559-7227 |