Active NPI
Resilient Health
- Nutrition Education Nutritionist
- Snoqualmie, WA
National Provider Identifier
1013365287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- NU60584285
- Legal business name
- RESILIENT HEALTH
- Practice address
- 7713 Center Blvd SE
Suite 160
Snoqualmie, WA 98065-6319 - Phone
- (707) 536-6686
- NPI assigned
- May 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anisa Woodall, MS CN
- Title
- Nutritionist
- Phone
- (707) 536-6686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | NU60584285 | WA | Primary |
Addresses
Primary practice location
7713 Center Blvd SE
Suite 160
Snoqualmie, WA 98065-6319
Mailing address
450 NW Gilman Blvd
Suite 201
Issaquah, WA 98027-2483
Phone (707) 536-6686
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/19418/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464480000000",
"number": "1013365287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NW GILMAN BLVD",
"address_2": "SUITE 201",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272483",
"telephone_number": "707-536-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7713 CENTER BLVD SE",
"address_2": "SUITE 160",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980656319",
"telephone_number": "707-536-6686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-29",
"last_updated": "2016-05-29",
"status": "A",
"authorized_official_last_name": "WOODALL",
"authorized_official_first_name": "ANISA",
"authorized_official_title_or_position": "NUTRITIONIST",
"authorized_official_telephone_number": "707-536-6686",
"authorized_official_credential": "MS CN"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "WA",
"license": "NU60584285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.