Organization Active NPI

Summit Nutrition Counseling PLLC

  • Registered Dietitian
  • Sammamish, WA
National Provider Identifier
1356163000
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Erica Lucero Olin, RDNPI 1306359575
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.