Cailie A Buckingham, R.D.
Dietitian, Registered in Bellingham, WA. Individual provider (NPI-1).
NPI number1962554972
StatusActive
Last updated in NPPESSep 23, 2020
Details
- NPI
- 1962554972
- Entity type
- Individual (NPI-1)
- Name
- Cailie A Buckingham
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Certification date
- Sep 23, 2020
- Last updated
- Sep 23, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI60455187 | WA | Yes |
| 133V00000X | Dietitian, Registered | 2624 | MN |
Practice location
1345 King StBellingham, WA 98229-6223
Phone 360-676-1696
Mailing address
1345 King StBellingham, WA 98229-6223
Phone 360-676-1696
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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