MRS. BROOKE S DOUGLAS R.D.
NPI 1730387986
Dietitian, Registered in Puyallup, WA

Active since July 10, 2007Accepts Medicare Assignment
15308 136TH AVE E, PUYALLUP, WA 98374(253) 227-8284 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Brooke S Douglas R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BROOKE S DOUGLAS R.D. (NPI 1730387986) is an individual dietitian, registered in Puyallup, Washington, licensed in Washington (706866) and active in the NPI registry since July 2007. She is a graduate of Other (1986).

NPPES Registry Identity

NPI1730387986
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. BROOKE S DOUGLASCredential: R.D.
Location Address15308 136TH AVE EPuyallup, WA 98374-9241
Mailing Address15308 136th Ave EPuyallup, WA 98374-9241 · (253) 227-8284
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 10, 2007
✔ NPI 1730387986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · 706866
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
15308 136TH AVE E, Puyallup, WA 98374

Other Names 1

Former Name (1)Miss Brooke S Beavers R.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Brooke S Douglas R.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587752795
PECOS Enrollment IDI20071121000110

Medicare Billing Reassignment

Medicare enrollment records show Brooke Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
3806 9TH ST SW, SUITE C
Puyallup, WA 98373
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
15308 136TH AVE E
PUYALLUP, WA 98374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Douglas's NPI number?

The NPI number for Brooke Douglas is 1730387986. It was assigned to this individual provider in the NPPES registry on July 10, 2007. The provider is also known as Miss Brooke S Beavers R.D..

Where is Brooke Douglas located?

Brooke Douglas practices at 15308 136th Ave E, Puyallup, WA 98374. The listed phone number is (253) 227-8284.

What is Brooke Douglas's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Brooke Douglas enrolled in Medicare?

Yes. Brooke Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brooke Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Douglas reassigns Medicare benefits to Nutrition Authority PLLC (Puyallup, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooke Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Douglas accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brooke Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brooke Douglas was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.