N
IndividualActive
Nicole Kimberly Tjakralaksana
Dietitian, Registered
NPI: 1043083777Fircrest, Washington, 98466(909) 718-9203Female
About Nicole Kimberly Tjakralaksana
Nicole Kimberly Tjakralaksana is a female healthcare professional specializing in Dietitian, Registered, registered under National Provider Identifier (NPI) number 1043083777. Their primary practice is located at 105 MAPLE ST, Fircrest, Washington 98466.
Patients can reach the office at (909) 718-9203. Nicole Kimberly Tjakralaksana has been NPI-registered since 2023.
Doctor Details
Identity & Credentials
- NPI Number
- 1043083777
- Entity Type
- Individual
- First Name
- Nicole
- Last Name
- Tjakralaksana
- Gender
- Female
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 105 MAPLE ST
- City
- Fircrest
- State
- Washington
- ZIP
- 98466-6617
- Country
- United States
- Phone
- (909) 718-9203
Specialty & Taxonomy
- Primary Specialty
- Dietitian, Registered
- Classification
- Dietitian, Registered
- Taxonomy Code
- 133V00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 105 MAPLE ST
- City
- FIRCREST
- State
- WA
- ZIP
- 984666617
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Nicole Kimberly Tjakralaksana's NPI number?
Nicole Kimberly Tjakralaksana's National Provider Identifier (NPI) is 1043083777. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Nicole Kimberly Tjakralaksana specialize in?
Nicole Kimberly Tjakralaksana specializes in Dietitian, Registered.
Where is Nicole Kimberly Tjakralaksana located?
Nicole Kimberly Tjakralaksana practices at 105 MAPLE ST, Fircrest, Washington 98466. You can reach them by phone at (909) 718-9203.
Does Nicole Kimberly Tjakralaksana accept Medicare?
Based on available data, Nicole Kimberly Tjakralaksana is not currently enrolled in the Medicare program.
Does Nicole Kimberly Tjakralaksana offer telehealth or virtual visits?
Nicole Kimberly Tjakralaksana does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Nicole Kimberly Tjakralaksana is 1043083777.