IndividualActive
Nicole Tjakralaksana
NPI 1043083777 · Registered Dietitian · Fircrest, WA
Nicole Tjakralaksana is a Registered Dietitian provider in Fircrest, WA (NPI 1043083777).
Provider details
- NPI number
- 1043083777
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Maple St
Fircrest, WA 98466-6617
Phone: (909) 718-9203
Street-level locationGet directions
Mailing address
105 Maple St
Fircrest, WA 98466-6617
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Frequently asked questions
- What is Nicole Tjakralaksana's NPI number?
- Nicole Tjakralaksana's National Provider Identifier (NPI) is 1043083777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Tjakralaksana's specialty?
- Nicole Tjakralaksana is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nicole Tjakralaksana located?
- Nicole Tjakralaksana's practice location on file with NPPES is 105 Maple St, Fircrest, WA 98466-6617.
- What is Nicole Tjakralaksana's phone number?
- The practice phone number listed in the NPPES registry for Nicole Tjakralaksana is (909) 718-9203.
- Is Nicole Tjakralaksana's NPI active?
- Yes — Nicole Tjakralaksana's NPI (1043083777) is active in the NPPES registry as of the last update on 2023-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.