Active NPI
Radically Empowered Nutrition
- Registered Dietitian
- Olympia, WA
National Provider Identifier
1174311823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- RADICALLY EMPOWERED NUTRITION
- Practice address
- 1827 18TH Ave SE
Olympia, WA 98501-2543 - Phone
- (231) 329-1441
- NPI assigned
- Apr 30, 2025
- Last updated
- Apr 30, 2025
- 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
- Lauren Beth Johnson
- Title
- Owner
- Phone
- (231) 329-1441
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
1827 18TH Ave SE
Olympia, WA 98501-2543
Mailing address
1827 18TH Ave SE
Olympia, WA 98501-2543
Phone (231) 329-1441
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1174311823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 18TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012543",
"telephone_number": "231-329-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 18TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012543",
"telephone_number": "231-329-1441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADICALLY EMPOWERED NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-329-1441"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.