Nourishthrive, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU 60628600 Issued in WA

Legal business name

NOURISHTHRIVE, LLC

Practice address

310 3Rd Ave NE Ste 117
Issaquah, WA 98027-3348

Phone

(425) 395-4638

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Brooke Erickson, MS, CNNPI 1073978565

Title

Owner

Phone

(425) 395-4638

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brooke Erickson

  • Nutritionist
  • Bellevue, WA
  • NPI 1073978565
  NPD (past) Authorized official

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1447609482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NW GILMAN BLVD # 2237",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275394",
            "telephone_number": "425-395-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 3RD AVE NE STE 117",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273348",
            "telephone_number": "425-395-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHTHRIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-395-4638",
        "authorized_official_credential": "MS, CN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU 60628600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc.
• Northwest Asthma & Allergy Center
• Northwest Care-Issaquah, Inc.
• Northwest Maxillofacial and Cosmetic Surgery Associates PS
• Northwest Pediatric Therapies, PS
• Alison Novosel
• Summer Jo Nowicki, N.D.
• Allison Kathryn Nunn, PT, DPT
• Nurani, Mitchell, Kim, PC
• NW Eye Docs, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.