I'Mpowered Nutrition & Fitness, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

I'MPOWERED NUTRITION & FITNESS, LLC

Doing business as

i'mPowered Nutrition & Fitness

Practice address

222 Kenyon St NW
Suite 1
Olympia, WA 98502-4578

Phone

(360) 358-3179

Fax

(888) 974-6419

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Parsons

Title

Owner/Provider

Phone

(360) 358-3179

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• i'mPowered Nutrition & Fitness Doing business as

Locations

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1245707660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 KENYON ST NW",
            "address_2": "SUITE 1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024578",
            "telephone_number": "360-358-3179",
            "fax_number": "888-974-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 KENYON ST NW",
            "address_2": "SUITE 1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024578",
            "telephone_number": "360-358-3179",
            "fax_number": "888-974-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I'MPOWERED NUTRITION & FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-358-3179"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074157",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "i'mPowered Nutrition & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Olympia, WA
• Providers in Olympia, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.