Actual Wellness LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NUTR.NU.60316605 Issued in WA

Legal business name

ACTUAL WELLNESS LLC

Practice address

1512 NE 70TH St
Seattle, WA 98115-5745

Phone

(360) 320-6772

Fax

(425) 526-5659

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Hannah Epstein, MS

Title

Certified Nutritionist/Owner

Phone

(360) 320-6772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1104234533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 NE 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155745",
            "telephone_number": "360-320-6772",
            "fax_number": "425-526-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 NE 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155745",
            "telephone_number": "360-320-6772",
            "fax_number": "425-526-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTUAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CERTIFIED NUTRITIONIST/OWNER",
        "authorized_official_telephone_number": "360-320-6772",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NUTR.NU.60316605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.