Provider Demographics
NPI:1790491959
Name:ATKINSON, SIERRA (RD, CSCS)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:RD, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16516 SE 326TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-5985
Mailing Address - Country:US
Mailing Address - Phone:253-653-4537
Mailing Address - Fax:
Practice Address - Street 1:16516 SE 326TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-5985
Practice Address - Country:US
Practice Address - Phone:253-653-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered