Provider Demographics
NPI:1669566659
Name:MCGRATH-ZEHM, DEBORAH ANN (RD, CDE)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:MCGRATH-ZEHM
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:MCGRATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDE
Mailing Address - Street 1:909 N BROADWAY
Mailing Address - Street 2:PBO, CREDENTIALING
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1409
Mailing Address - Country:US
Mailing Address - Phone:425-317-0699
Mailing Address - Fax:425-317-0291
Practice Address - Street 1:916 PACIFIC AVENUE
Practice Address - Street 2:7TH FLOOR DIABETES & NUTRITION PROGRAM
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-258-7953
Practice Address - Fax:425-258-7579
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00000078133N00000X, 133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8267312Medicaid
WA8267312Medicaid
WAG8878232Medicare PIN
WAP50477Medicare UPIN