Active NPI
Monica Paz
- Nutritionist
- Issaquah, WA
National Provider Identifier
1063910693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 60780729
- Practice address
- 1220 10TH Ave NE
Issaquah, WA 98029-7406 - Phone
- (425) 557-8900
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 60780729 | WA | Primary |
Addresses
Primary practice location
1220 10TH Ave NE
Issaquah, WA 98029-7406
Mailing address
1220 10TH Ave NE
Issaquah, WA 98029-7406
Phone (425) 557-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60780729 | WA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1063910693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 10TH AVE NE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980297406",
"telephone_number": "425-557-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 10TH AVE NE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980297406",
"telephone_number": "425-557-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZ",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "60780729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.