Sunrise Nutrition, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

SUNRISE NUTRITION, LLC

Practice address

2319 N 45TH St Ste 103
Seattle, WA 98103-6947

Phone

(415) 322-3156

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Mindy Lu, CN, LMHCNPI 1760935225

Title

Owner

Phone

(415) 322-3156

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Mindy M Lu, CN, LMHC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1760935225
  NPD Authorized official
• Stephanie Jessie Lin, RDN, CD

  • Registered Dietitian
  • Seattle, WA
  • NPI 1497377691
  NPD
• Kelly Wolffe, RDN

  • Registered Dietitian
  • Seattle, WA
  • NPI 1699372912
  NPD (past)

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1205483286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036947",
            "telephone_number": "415-322-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036947",
            "telephone_number": "415-322-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-322-3156",
        "authorized_official_credential": "CN, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunnyside ABA
• Sunnyside Seattle Therapy
• Abby M Sunq, DO
• Sunrise Behavioral Center Inc
• Sunrise Centers
• Zia Sunseri, MA, LMFTA, ASAT
• Sunshine Pediatrics LLC
• Anna Brosius Sunshine, M.D.
• Jacob Sunshine, MD
• Krittin Jay Supapannachart, MD

• Nutritionist in Seattle, WA
• Providers in Seattle, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.