Basic Information
Provider Information
NPI: 1750682928
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATON
FirstName: TRISHA
MiddleName: JO
NamePrefix:  
NameSuffix:  
Credential: RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 9TH AVE
Address2: MS:M4-PFS
City: SEATTLE
State: WA
PostalCode: 981012756
CountryCode: US
TelephoneNumber: 2065155811
FaxNumber:  
Practice Location
Address1: 1100 9TH AVE
Address2: MS:X1-DTC
City: SEATTLE
State: WA
PostalCode: 981012756
CountryCode: US
TelephoneNumber: 2062236729
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/04/2010
LastUpdateDate: 03/21/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000XDI60582627WAY Dietary & Nutritional Service ProvidersDietitian, Registered 
133V00000X997435MNN Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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