Island Nutrition and Wellness LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

ISLAND NUTRITION AND WELLNESS LLC

Practice address

6511 82ND Ave SE
Mercer Island, WA 98040-5224

Phone

(206) 930-1130

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Giselle Greisman, CNNPI 1841051307

Title

Owner

Phone

(206) 930-1130

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Giselle Greisman, CN

  • Nutritionist
  • Mercer Island, WA
  • NPI 1841051307
  NPD Authorized official
• Shannon Grube, MS, RDN, CD

  • Registered Dietitian
  • Oak Harbor, WA
  • NPI 1598838609
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1396506812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 82ND AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405224",
            "telephone_number": "206-930-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 82ND AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405224",
            "telephone_number": "206-930-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NUTRITION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "GREISMAN",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-930-1130",
        "authorized_official_credential": "CN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Humphrey
• Samruddhi Hurkadli, M.S
• Rachel Shira Hyman, PSYD
• Island Crest Chiropractic Inc
• Island Dermatology PLLC
• Taro Iwamoto, MS, ATC, CSCS
• Jessica Dorothy Jackson, L.M.P.
• Catherine Ying Jin, MD
• John C Lind DDS
• John H. Addison MD PS (Northwest Geriatrics)

• Nutritionist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.