Organization Active NPI

North Sound Nourishment and Recovery LLC

  • Registered Dietitian
  • Everett, WA
National Provider Identifier
1174037402
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001163 Issued in WA
Legal business name
NORTH SOUND NOURISHMENT AND RECOVERY LLC
Practice address
3213 Wetmore Ave Apt 13
Everett, WA 98201-4365
Phone
(206) 660-3225
Fax
(425) 328-1891
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Heather Paves, MS, RDN, CD
Title
Dietitian & Owner
Phone
(206) 660-3225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DI00001163 WA Primary
Pediatric Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1004X DI00001163 WA

Addresses

Primary practice location

3213 Wetmore Ave Apt 13
Everett, WA 98201-4365

Mailing address

3213 Wetmore Ave Apt 13
Everett, WA 98201-4365
Phone (206) 660-3225

National Provider Directory

National Provider Directory

Locations

3213 Wetmore Ave
Apt 13
Everett, WA 98201
Phone (206) 660-3225

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1174037402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 WETMORE AVE APT 13",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014365",
            "telephone_number": "206-660-3225",
            "fax_number": "425-328-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 WETMORE AVE APT 13",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014365",
            "telephone_number": "206-660-3225",
            "fax_number": "425-328-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOUND NOURISHMENT AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PAVES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIETITIAN & OWNER",
        "authorized_official_telephone_number": "206-660-3225",
        "authorized_official_credential": "MS, RDN, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001163",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WA",
            "license": "DI00001163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.