Brave Nutrition LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

AHY718654003 Issued in WA

Legal business name

BRAVE NUTRITION LLC

Practice address

534 Westlake Ave N
Suite 240
Seattle, WA 98109-4305

Phone

(206) 578-5843

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Prof. Brooke D Jeffries, MS, CN

Title

Provider/Owner

Phone

(206) 578-5843

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1427426477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-369-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 WESTLAKE AVE N",
            "address_2": "SUITE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094305",
            "telephone_number": "206-578-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "206-578-5843",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MS, CN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "AHY718654003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AHY718654003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Braun, LMHC
• Susan Braun, RN
• Sharon L. Brauns, PT
• Benjamin Braunstein
• Kjersti Braunstein, MD
• Brave Seattle PLLC
• Bravespace Nutrition LLC
• Alice Bravo
• Luizalberto Bravo
• Marjorie Rose Bravo, MD

• Nutritionist in Seattle, WA
• Providers in Seattle, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.