Active NPI
Liberating Jasper LLC
- Registered Dietitian
- Tacoma, WA
National Provider Identifier
1205477296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LIBERATING JASPER LLC
- Practice address
- 2133 Martin Luther King Jr Way
Tacoma, WA 98405-3839 - Phone
- (425) 999-5812
- NPI assigned
- Oct 1, 2019
- 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
- Alexandra McKee, MS, RD
- Title
- Registered Dietitian, Co-Founder
- Phone
- (425) 999-5812
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2133 Martin Luther King Jr Way
Tacoma, WA 98405-3839
Mailing address
2133 Martin Luther King Jr Way
Tacoma, WA 98405-3839
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@liberatingajasper.com | Direct |
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.
-
- Counselor
- Bremerton, WA
- NPI 1407677669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569888000000",
"number": "1205477296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053839",
"telephone_number": "425-999-5812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERATING JASPER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A",
"authorized_official_last_name": "MCKEE",
"authorized_official_first_name": "ALEXANDRA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN, CO-FOUNDER",
"authorized_official_telephone_number": "425-999-5812",
"authorized_official_credential": "MS, RD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@liberatingajasper.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2133 Martin Luther King Jr Way",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984053839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.