Sprouting Nutrition, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

SPROUTING NUTRITION, LLC

Practice address

1300 NE Linden Ave Ste 6
Gresham, OR 97030-3956

Phone

(971) 358-1246

Fax

(971) 358-1247

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Verenis EstradaNPI 1053930065

Title

Owner

Phone

(971) 358-1246

Specialties & licenses 1

Addresses

Other names 1

• Sprouting Health & Wellness Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Verenis Estrada, ND

  • Naturopath
  • Portland, OR
  • NPI 1053930065
  NPD Authorized official
• Sierra Goncharoff, ND

  • Naturopath
  • Portland, OR
  • NPI 1952952707
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1467045211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2144",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970241817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE LINDEN AVE STE 6",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303956",
            "telephone_number": "971-358-1246",
            "fax_number": "971-358-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTING NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "VERENIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-358-1246"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprouting Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diamond Spigner, EFDA
• Anne Spiliotis, OT
• Sportscare Integrative Physical Therapy
• Sportscare Physical Therapy @ Cornell, LLC
• Cheryl A Springer, PHD PAC
• Lewis W Sprunger, M.D.
• Ana M Squellati, ND
• Christopher Stadnick, MD
• Salomeia Stan, L.M.T.
• Teagan Wyn Stanley

• Naturopath in Gresham, OR
• Providers in Gresham, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.