Organization Active NPI

J.Nutrition, LLC

  • Registered Dietitian
  • Ellensburg, WA
National Provider Identifier
1043662703
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI-60509103 Issued in WA
Legal business name
J.NUTRITION, LLC
Practice address
413 N Main St
Suite J
Ellensburg, WA 98926-3183
Phone
(509) 899-0226
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Shena Jaramillo, R.D., C.D.
Title
Registered Dietitian
Phone
(509) 607-8972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DI-60509103 WA Primary

Addresses

Primary practice location

413 N Main St
Suite J
Ellensburg, WA 98926-3183

Mailing address

PO Box 1146
Kittitas, WA 98934-1146
Phone (509) 607-8972

Other names 1

  • J.Nutrition Former legal business name

National Provider Directory

National Provider Directory

Locations

413 N Main St
Ste J
Ellensburg, WA 98926
Phone (509) 899-0225

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1043662703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "KITTITAS",
            "state": "WA",
            "postal_code": "989341146",
            "telephone_number": "509-607-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N MAIN ST",
            "address_2": "SUITE J",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263183",
            "telephone_number": "509-899-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "SHENA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "509-607-8972",
        "authorized_official_credential": "R.D., C.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI-60509103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.Nutrition",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.