Wade Dietetics and Fitness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WADE DIETETICS AND FITNESS LLC

Practice address

4330 W Lake Sammamish Pkwy SE Apt 117
Issaquah, WA 98027-9772

Phone

(636) 432-2526

NPI assigned

Jul 18, 2026

Organization subpart

No

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

Authorized official

Name

Matthew Harrison Wade, MS, RDN, CSCS

Title

Dietitian

Phone

(636) 432-2526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784332800000",
    "number": "1104746239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W LAKE SAMMAMISH PKWY SE APT 117",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279772",
            "telephone_number": "636-432-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W LAKE SAMMAMISH PKWY SE APT 117",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279772",
            "telephone_number": "636-432-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE DIETETICS AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-18",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "636-432-2526",
        "authorized_official_credential": "MS, RDN, CSCS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Viveiros
• Michelle C Voetberg
• Jeanne Vogel, RN
• Donna Marie Von Bargen, PHD
• Saskia E Vonmichalofski, ARNP
• Eric Wade
• Wadsworth Psychiatric Services PLLC
• Brett Lee Wadsworth, JD, MSN, ARNP, PMHNP
• Devon Wagner, APRN
• Christopher John Wahl, MD

• Registered Dietitian in Issaquah, WA
• Providers in Issaquah, 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 18, 2026; 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.