Restore Health & Body Wisdom, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RESTORE HEALTH & BODY WISDOM, PLLC

Doing business as

RestoreHBW

Practice address

3613 NE 6TH PL
Renton, WA 98056-3930

Phone

(509) 508-1283

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey Dosh, RDNNPI 1467953885

Title

Owner

Phone

(509) 508-1283

Specialties & licenses 1

Addresses

Other names 1

• RestoreHBW Doing business as

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.

• Kelsey Dosh, RDN

  • Registered Dietitian
  • Renton, WA
  • NPI 1467953885

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1255102612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 NE 6TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NE 6TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563930",
            "telephone_number": "509-508-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH & BODY WISDOM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "DOSH",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-508-1283",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RestoreHBW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.