Individual provider Active NPI

Saundra L Kamman, CN

  • Nutritionist
  • La Center, WA
National Provider Identifier
1003671256
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
605391101 Issued in WA
Practice address
38606 NE 138TH CT
La Center, WA 98629-4351
Phone
(503) 347-4747
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 605391101 WA Primary

Addresses

Primary practice location

38606 NE 138TH CT
La Center, WA 98629-4351

Mailing address

38606 NE 138TH CT
La Center, WA 98629-4351
Phone (503) 347-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
605391101WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom and Grow Nutrition Nutritionist CurrentSince Jun 23, 2024 Accepting new patients
Kate Brock Nutrition Nutritionist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1003671256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38606 NE 138TH CT",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986294351",
            "telephone_number": "503-347-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38606 NE 138TH CT",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986294351",
            "telephone_number": "503-347-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMAN",
        "first_name": "SAUNDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "605391101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Center, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.