PACIFIC NUTRITION & WELLNESS (NPI# 1538451935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538451935 |
| Entity Type | Organization |
| Organization Name | PACIFIC NUTRITION & WELLNESS |
| Practice Address |
21827 76th Ave W Suite 202 Edmonds WA 98026-7981 |
| Practice Telephone | 4257767333 |
| Practice Fax Number | 4257768373 |
| Mailing Telephone | 4257767333 |
| Mailing Fax Number | 4257768373 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MS. MELANIE P MACHADO (CEO) |
| Authorized Official Telephone | 4257767333 |
| Authorized Official Credential | RD, CD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DI00002069 | WA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | DI00000424 | WA | Dietary & Nutritional Service Providers |
| N | 163W00000X | Registered Nurse | RN00124642 | WA | Nursing Service Providers |
| Y | 133V00000X | Dietitian, Registered | DI00001610 | WA | Dietary & Nutritional Service Providers |
| Street Address |
21827 76TH AVE W SUITE 202 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821072364 | Jennifer Bartley Campbell | Dietitian, Registered | 21827 76th Ave W, Suite 202, Edmonds, WA 98026-7981 | 2005-11-29 |
| 1851751507 | Ayla Hopkins | Naturopath | 21827 76th Ave W, Suite 202, Edmonds, WA 98026-7981 | 2016-02-23 |
| 1255790374 | Premier Therapy Associates, LLC | Occupational Therapist | 21827 76th Ave W, Suite 101, Edmonds, WA 98026-7981 | 2016-02-17 |
| 1386085603 | Sage Naturopathic Medicine Clinic, Pllc | Non-Pharmacy Dispensing Site | 21827 76th Ave W, Suite 202, Edmonds, WA 98026-7981 | 2013-07-15 |
| 1386998193 | Robert Jay Reichler, Md, Ps | Psychiatry & Neurology | 21827 76th Ave W, Suite 201, Edmonds, WA 98026-7981 | 2012-10-31 |
| 1538443361 | Elise J Bradley | Occupational Therapist | 21827 76th Ave W, Suite 101, Edmonds, WA 98026-7981 | 2011-09-28 |
| 1922236116 | J Rankin Thompson | Physical Therapist | 21827 76th Ave W, 101, Edmonds, WA 98026-7981 | 2009-06-25 |
| 1760655732 | Steven H Swedberg Md Ps | Ophthalmology | 21827 76th Ave W, Ste 102, Edmonds, WA 98026-7981 | 2008-04-10 |
| 1740303650 | Robert Jay Reichler | Psychiatry & Neurology | 21827 76th Ave W, #201, Edmonds, WA 98026-7901 | 2007-04-06 |
| 1821162900 | Steven H Swedberg | Ophthalmology | 21827 76th Ave W, Ste 102, Edmonds, WA 98026-7981 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1790398261 | Jenna Baldwin Lee | Dietitian, Registered | 23020 Edmonds Way # S-417, Edmonds, WA 98020-5070 | 2020-08-25 |
| 1215546379 | Cynthia Ann Yager | Dietitian, Registered | 8212 186th St Sw, Edmonds, WA 98026-5838 | 2020-07-24 |
| 1891230256 | Colleen Drosdeck | Dietitian, Registered | 7500 212th St Sw Ste 116, Edmonds, WA 98026-7616 | 2016-12-21 |
| 1992188155 | Olivia Danielle Mathisen-holloman | Dietitian, Registered | 18720 76th Ave W Apt B, Edmonds, WA 98026-5806 | 2015-07-07 |
| 1255750097 | Michael James Lynch | Dietitian, Registered | 21813 84th Ave W Unit B, Edmonds, WA 98026-7820 | 2014-04-09 |
| 1285927020 | Gretchen Gruender | Dietitian, Registered | 9909 225th Pl Sw, Edmonds, WA 98020-5924 | 2011-05-26 |
| 1821072364 | Jennifer Bartley Campbell | Dietitian, Registered | 21827 76th Ave W, Suite 202, Edmonds, WA 98026-7981 | 2005-11-29 |
| 1447860481 | Janet Sadykbayev | Dietitian, Registered | 547 Dayton St, Edmonds, WA 98020-3431 | 2020-08-05 |
| 1942848874 | Kathryn Anne Myers | Dietitian, Registered | 547 Dayton St, Edmonds, WA 98020-3431 | 2019-12-10 |
| 1285978452 | Chelsea Murphy | Dietitian, Registered | 21911 76th Ave W, Suite 200, Edmonds, WA 98026-7918 | 2012-11-12 |
| Find all providers in EDMONDS | ||||
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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.