Prosper Nutrition and Wellness

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PROSPER NUTRITION AND WELLNESS

Practice address

1155 N State St Ste 521
Bellingham, WA 98225-5045

Phone

(509) 860-1051

Fax

(360) 746-2495

NPI assigned

Jul 2, 2020

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amee Severson, RDNPI 1235655135

Title

Owner

Phone

(509) 860-1051

Specialties & licenses 2

Addresses

Locations

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.

• Amee Severson, RD

  • Registered Dietitian
  • Bellingham, WA
  • NPI 1235655135

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1477170785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST STE 521",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255045",
            "telephone_number": "509-860-1051",
            "fax_number": "360-746-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST STE 521",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255045",
            "telephone_number": "509-860-1051",
            "fax_number": "360-746-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER NUTRITION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "AMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-860-1051",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.