Active NPI
Summit Nutrition Counseling PLLC
- Registered Dietitian
- Sammamish, WA
National Provider Identifier
1356163000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SUMMIT NUTRITION COUNSELING PLLC
- Practice address
- 21312 SE 24TH St
Sammamish, WA 98075-9547 - Phone
- (425) 657-6050
- Fax
- (425) 307-6114
- NPI assigned
- Oct 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Lucero Olin, RD
- Title
- Owner, Registered Dietitian
- Phone
- (425) 405-0161
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
21312 SE 24TH St
Sammamish, WA 98075-9547
Mailing address
21312 SE 24TH St
Sammamish, WA 98075-9547
Phone (425) 405-0161
Other names 1
- Summit Nutrition Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1356163000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21312 SE 24TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759547",
"telephone_number": "425-405-0161",
"fax_number": "425-307-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21312 SE 24TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759547",
"telephone_number": "425-657-6050",
"fax_number": "425-307-6114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT NUTRITION COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-24",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "OLIN",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "LUCERO",
"authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
"authorized_official_telephone_number": "425-405-0161",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Nutrition Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Summit Nutrition Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.