NPIMap

Organization Active NPI

Groundworks Nutrition

  • Nutritionist
  • Seattle, WA
National Provider Identifier
1467964502
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU00001465 Issued in WA
Legal business name
GROUNDWORKS NUTRITION
Doing business as
Groundworks Nutrition
Practice address
2111 N Northgate Way Ste 201
Seattle, WA 98133
Phone
(206) 525-8015
Fax
(206) 525-8014
NPI assigned
Oct 30, 2017
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Erin Elizabeth Sekulich, MS, CNNPI 1548791957
Title
Owner
Phone
(206) 632-5662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X NU00001465 WA Primary

Addresses

Primary practice location

2111 N Northgate Way Ste 201
Seattle, WA 98133

Mailing address

105 NE 56TH St
Seattle, WA 98105-3737
Phone (206) 632-5662

Other practice location 1

105 NE 56th St
Seattle, WA 98105-3737
Phone (206) 632-5662

Other identifiers 1

IdentifierTypeStateIssuer
1548791957OtherNPI

Other names 1

  • Groundworks Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

105 NE 56th St
Seattle, WA 98105
Phone (206) 257-5817

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1467964502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NE 56TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053737",
            "telephone_number": "206-632-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98133",
            "telephone_number": "206-525-8015",
            "fax_number": "206-525-8014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 NE 56th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053737",
            "country_code": "US",
            "telephone_number": "206-632-5662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROUNDWORKS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "SEKULICH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-632-5662",
        "authorized_official_credential": "MS, CN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU00001465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548791957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groundworks Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.