PROACTIVE NUTRITION (NPI# 1467621706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467621706 |
| Entity Type | Organization |
| Organization Name | PROACTIVE NUTRITION |
| Practice Address |
13008 Ne 125th Way Kirkland WA 98034-7726 |
| Practice Telephone | 4258148443 |
| Mailing Telephone | 4258148443 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | SHERYL HEDBERG (ADMIN ASSISTANT) |
| Authorized Official Telephone | 4258148443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI00001006 | WA | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PROACTIVE NUTRITION & WELLNESS INCORPORATED | 1455 Laurel Ave, Coos Bay, OR 97420 |
| Colorado Business Entities | PROACTIVE NUTRITION, LLC | 9370 S Colorado Blvd, Highlands Ranch, CO 80130 |
| Street Address |
13008 NE 125TH WAY |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629293048 | Sally L. Hara | Dietitian, Registered | 13008 Ne 125th Way, Kirkland, WA 98034-7726 | 2007-04-13 |
| 1003067133 | Lile D Ellefsen | Dietitian, Registered | 13008 Ne 125th Way, Kirkland, WA 98034-7726 | 2008-10-07 |
| 1780831917 | Proactive Nutrition, LLC | Clinic/Center | 13008 Ne 125th Way, Kirkland, WA 98034-7726 | 2008-08-19 |
| 1881872067 | Christina Spears-bartunek | Counselor | 13008 Ne 125th Way, Kirkland, WA 98034-7726 | 2008-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933960 | Roya Soleymani | Dietitian, Registered | 13216 121st Ave Ne, Kirkland, WA 98034-2145 | 2020-05-13 |
| 1336796218 | Chih-ming Sun | Dietitian, Registered | 11021 Ne 123rd Ln Apt C314, Kirkland, WA 98034-6811 | 2019-08-24 |
| 1023570835 | Leslie Elizabeth Weidner | Dietitian, Registered | 11925 Ne 148th St, Kirkland, WA 98034-4512 | 2019-04-01 |
| 1629533260 | Bromley Maharg | Dietitian, Registered | 12333 Ne 130th Ln Ste Tan 400, Kirkland, WA 98034-7467 | 2019-02-07 |
| 1225444920 | Julie Rose Bly | Dietitian, Registered | 12121 Ne 140th St, Kirkland, WA 98034-2223 | 2014-07-02 |
| 1962776823 | Caroline Michele Mcnaughton Tittel | Dietitian, Registered | 13126 Ne 138th Pl, Kirkland, WA 98034-2318 | 2012-02-23 |
| 1902136336 | Chelsey Ocean | Dietitian, Registered | 8857 Ne Juanita Ln, Kirkland, WA 98034-3510 | 2010-01-07 |
| 1225288020 | Mary Kathryn Rusk | Dietitian, Registered | 313 7th Ave S, Kirkland, WA 98033-6681 | 2008-09-29 |
| 1285819490 | Ashley A Harris | Dietitian, Registered | 10532 Ne 68th St, Suite D203, Kirkland, WA 98033-7097 | 2008-01-07 |
| 1174711238 | Shawna Leanne Tholen | Dietitian, Registered | 12040 Ne 128th St # 38, Kirkland, WA 98034-3013 | 2007-10-13 |
| Find all providers in KIRKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.