Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Kimberly Tjakralaksana

Individual provider Registered Dietitian · NPI 1043083777

Nicole Kimberly Tjakralaksana is a Registered Dietitian in Fircrest, Washington. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

105 Maple St
Fircrest, WA 98466-6617
Phone: (909) 718-9203
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1043083777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2023
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Other providers in Fircrest