Individual provider Active NPI

Alexandra Aloha Cameron, CN

  • Nutritionist
  • Puyallup, WA
National Provider Identifier
1477292928
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU60936074 Issued in WA
Practice address
1408 3Rd St SE Ste 200
Puyallup, WA 98372-3702
Phone
(253) 881-1490
Fax
(253) 881-1490
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU60936074 WA Primary

Addresses

Primary practice location

1408 3Rd St SE Ste 200
Puyallup, WA 98372-3702

Mailing address

1408 3Rd St SE Ste 200
Puyallup, WA 98372-3702
Phone (253) 881-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112003976 WA Practitioner - Registered Dietitian Or Nutrition Professional 4587155015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15308 136TH Ave E
Puyallup, WA 98374-9241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NU60936074WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Authority PLLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

4411 2nd St SW
Ste 5
Puyallup, WA 98373
Phone (253) 227-4899

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1477292928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 3RD ST SE STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723702",
            "telephone_number": "253-881-1490",
            "fax_number": "253-881-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 3RD ST SE STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723702",
            "telephone_number": "253-881-1490",
            "fax_number": "253-881-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "ALEXANDRA",
        "middle_name": "ALOHA",
        "credential": "CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60936074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.