Active NPI
Veterans Vanguard LLC
- Registered Dietitian
- Spokane, WA
National Provider Identifier
1104668946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- VETERANS VANGUARD LLC
- Doing business as
- Vanguard Metabolic Health
- Practice address
- 522 W Riverside Ave Suite N
Spokane, WA 99201 - Phone
- (360) 821-7349
- NPI assigned
- Jun 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meghan Harris
- Title
- Authorized Official
- Phone
- (732) 275-2629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
522 W Riverside Ave Suite N
Spokane, WA 99201
Mailing address
522 W Riverside Ave Suite N
Spokane, WA 99201
Phone (360) 821-7349
Other names 1
- Vanguard Metabolic Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250519000598 | WA | Part B Supplier - Clinic/Group Practice | 1951829480 | Practice locations: Spokane, WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1104668946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE SUITE N",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99201",
"telephone_number": "360-821-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE SUITE N",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99201",
"telephone_number": "360-821-7349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS VANGUARD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-12",
"last_updated": "2025-03-05",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "MEGHAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "732-275-2629"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vanguard Metabolic Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vanguard Metabolic Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.