Organization Active NPI

Future Hope Wellness LLC

  • Nutrition Education Nutritionist
  • Klamath Falls, OR
National Provider Identifier
1013514959
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
FUTURE HOPE WELLNESS LLC
Practice address
1805 Chinchalla Way
Klamath Falls, OR 97603-5234
Phone
(541) 892-1248
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Shawna Ross, BSNS
Title
Manager
Phone
(541) 884-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

1805 Chinchalla Way
Klamath Falls, OR 97603-5234

Mailing address

1805 Chinchalla Way
Klamath Falls, OR 97603-5234
Phone (541) 892-1248

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1013514959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CHINCHALLA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035234",
            "telephone_number": "541-892-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CHINCHALLA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035234",
            "telephone_number": "541-892-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE HOPE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-884-3070",
        "authorized_official_credential": "BSNS"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.