Cheri Lynn Soraparu, MS, CCN, CN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU60077698 Issued in WA

Practice address

1109 Frontier Cir E Ste a
Lake Stevens, WA 98258-3442

Phone

(425) 760-8527

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1235369992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 7TH PL SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583834",
            "telephone_number": "142-576-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 FRONTIER CIR E STE A",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583442",
            "telephone_number": "425-760-8527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10020 7th Pl SE",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "982583834",
            "country_code": "US",
            "telephone_number": "425-760-8527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 201st Pl SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980128572",
            "country_code": "US",
            "telephone_number": "425-760-8527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORAPARU",
        "first_name": "CHERI",
        "middle_name": "LYNN",
        "credential": "MS, CCN, CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60077698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.