Pamela Malo PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PAMELA MALO PLLC

Doing business as

Northstar Nutrition

Practice address

345 Knechtel Way NE Ste 111
Bainbridge Island, WA 98110-2834

Phone

(518) 339-2593

NPI assigned

Jan 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Malo, MHS, RDNNPI 1639721046

Title

Owner

Phone

(518) 339-2593

Specialties & licenses 1

Addresses

Other names 1

• Northstar Nutrition Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Malo

  • Registered Dietitian
  • Bainbridge Island, WA
  • NPI 1639721046

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1063274108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WINSLOW WAY E UNIT 10295",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981109968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE STE 111",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102834",
            "telephone_number": "518-339-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MALO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MALO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-339-2593",
        "authorized_official_credential": "MHS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northstar Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.