Organization Active NPI

Resilient Health

  • Nutrition Education Nutritionist
  • Snoqualmie, WA
National Provider Identifier
1013365287
Registry record updated May 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
NU60584285 Issued in WA
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

Updated by the provider on May 29, 2016

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)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.