Organization Active NPI

Bio Well Nutrition LLC

  • Nutrition Education Nutritionist
  • Vancouver, WA
National Provider Identifier
1043671597
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
BIO WELL NUTRITION LLC
Practice address
1104 Main St
Suite 550D
Vancouver, WA 98660-2999
Phone
(949) 413-1422
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Daniele Nicole Della Valle, NTP
Title
Owner
Phone
(949) 413-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X WA Primary

Addresses

Primary practice location

1104 Main St
Suite 550D
Vancouver, WA 98660-2999

Mailing address

22101 NE 99TH St
Vancouver, WA 98682-9785
Phone (949) 413-1422

National Provider Directory

National Provider Directory

Locations

1104 Main St
Ste 550D
Vancouver, WA 98660
Phone (360) 910-8065

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1043671597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 NE 99TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986829785",
            "telephone_number": "949-413-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST",
            "address_2": "SUITE 550D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602999",
            "telephone_number": "949-413-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO WELL NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "DELLA VALLE",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-413-1422",
        "authorized_official_credential": "NTP"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.