NPIMap

Organization Active NPI

Nutritionally Sound, LLC

  • Sports Dietetics Nutrition Registered Dietitian
  • Puyallup, WA
National Provider Identifier
1114612199
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
Legal business name
NUTRITIONALLY SOUND, LLC
Practice address
17506 80TH Avenue CT E
Puyallup, WA 98375-2526
Phone
(541) 520-7867
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Megan Charles, RDNNPI 1144921735
Title
Owner
Phone
(541) 520-7867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1501X Primary

Addresses

Primary practice location

17506 80TH Avenue CT E
Puyallup, WA 98375-2526

Mailing address

4227 S Meridian
Suite C #306
Puyallup, WA 98373
Phone (541) 520-7867

National Provider Directory

National Provider Directory

Locations

4227 S Meridian
Ste C
Puyallup, WA 98373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1114612199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 S MERIDIAN",
            "address_2": "SUITE C #306",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "541-520-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17506 80TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752526",
            "telephone_number": "541-520-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONALLY SOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-520-7867",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.