Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Allyse Fagan, RD, CD, CEP

Individual provider Registered Dietitian · NPI 1891239471

Jacquelyn Allyse Fagan, RD, CD, CEP is a Registered Dietitian OR Nutrition Professional in Tacoma, Washington. Qualified in 2015, 11 years ago. Practices with Multicare Health System, a 2,302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2202 S Cedar St Ste 300
Tacoma, WA 98405-2318
Phone: (253) 301-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI 60713040 (WA)

Record details

NPI number1891239471
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CD , CEP
Sole proprietorNo
NPI enumeratedDecember 15, 2016
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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