Active NPI
Alexander Bear, CNS
- Nutritionist
- Freeland, WA
National Provider Identifier
1326715277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- NU61409281
- Practice address
- 1705 Main St
Freeland, WA 98249-9423 - Phone
- (360) 217-9334
- NPI assigned
- Aug 27, 2021
- Last updated
- Feb 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU61409281 | WA | Primary |
Addresses
Primary practice location
1705 Main St
Freeland, WA 98249-9423
Mailing address
2354 Deer Brush Rd
Greenbank, WA 98253-9773
Phone (360) 217-9334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NU61409281 | WA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1326715277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 DEER BRUSH RD",
"city": "GREENBANK",
"state": "WA",
"postal_code": "982539773",
"telephone_number": "360-217-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 MAIN ST",
"city": "FREELAND",
"state": "WA",
"postal_code": "982499423",
"telephone_number": "360-217-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAR",
"first_name": "ALEXANDER",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2024-02-26",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "NU61409281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.