Rocket Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60569923 Issued in WA

Legal business name

ROCKET NUTRITION, LLC

Practice address

4110 Stone Way N
Seattle, WA 98103-8000

Phone

(774) 768-0531

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Reiko Sudduth, RDN, CDNPI 1972972057

Title

Principal

Phone

(774) 768-0531

Specialties & licenses 1

Addresses

Other names 1

• Rocket Nutrition Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reiko Sudduth, MS, RDN

  • Registered Dietitian
  • Seattle, WA
  • NPI 1972972057

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1043693641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038000",
            "telephone_number": "774-768-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038000",
            "telephone_number": "774-768-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKET NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "SUDDUTH",
        "authorized_official_first_name": "REIKO",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "774-768-0531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60569923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocket Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Elizabeth Rock, MS
• Felicia Leann Rock, LICSW
• Kelsey Rock, CDPT
• Kristen Rockas, BAS, CDP
• Hannah Rockel
• Hannah Rockett, AGPCNP
• Carol M Rockhill, M.D. PHD
• Jason King Rockhill
• Sunny Rockom, ARNP
• Zachary Allen Rockov, MD

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.