IndividualActive
Jacie Van Blaricom, DI
NPI 1780080515 · Registered Dietitian · Grand Coulee, WA
Jacie Van Blaricom, DI is a Registered Dietitian provider in Grand Coulee, WA (NPI 1780080515).
Provider details
- NPI number
- 1780080515
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- DI
- Sex
- Female
- Sole proprietor
- No
- License
- DI60513122 (WA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% 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
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone: (509) 633-1753
Fax: (509) 633-1933
Street-level locationGet directions
Mailing address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Registry dates
- Enumerated
- 2014-11-05
- Last updated
- 2018-03-13
Frequently asked questions
- What is Jacie Van Blaricom's NPI number?
- Jacie Van Blaricom's National Provider Identifier (NPI) is 1780080515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacie Van Blaricom's specialty?
- Jacie Van Blaricom is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jacie Van Blaricom located?
- Jacie Van Blaricom's practice location on file with NPPES is 411 Fortuyn Rd, Grand Coulee, WA 99133-8718.
- What is Jacie Van Blaricom's phone number?
- The practice phone number listed in the NPPES registry for Jacie Van Blaricom is (509) 633-1753.
- Is Jacie Van Blaricom's NPI active?
- Yes — Jacie Van Blaricom's NPI (1780080515) is active in the NPPES registry as of the last update on 2018-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.