Nutrition for Autoimmunity, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NUTRITION FOR AUTOIMMUNITY, LLC

Practice address

17087 Tualatin St
Lake Oswego, OR 97035-5335

Phone

(503) 380-0574

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By 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

Stephanie Elisabeth SperringNPI 1003578857

Title

Owner

Phone

(503) 380-0574

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Stephanie Sperring, MSCN

  • Nutritionist
  • Lake Oswego, OR
  • NPI 1003578857
  NPD Authorized official

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1366104689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17087 TUALATIN ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355335",
            "telephone_number": "503-380-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17087 TUALATIN ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355335",
            "telephone_number": "503-380-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION FOR AUTOIMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "SPERRING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-380-0574"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.practicebetter.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17087 Tualatin St",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970355335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northwest Medical Clinic PC
• Northwest Mobility LLC
• Northwest Surgical Specialists PC (Rebound Lake Oswego)
• Hadi Nouredine, D.M.D.
• Kellie Anne Nunn, MSW, LCSW
• Bradley A Nymeyer, LAC, LMT
• Samantha O'Brien, L.AC., LMT
• Kailey O'Connor
• Stephanie Kirsten O'Donnell-Peters
• Anne M O'Donnell, M.S., LPC, CADC III

• Clinic/Center in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.