Aim 2 Nourish, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60096825 Issued in WA

Legal business name

AIM 2 NOURISH, LLC

Doing business as

Dr. Cristen Harris, LLC

Practice address

18779 Kenlake PL NE
Kenmore, WA 98028-3236

Phone

(425) 273-8577

NPI assigned

May 8, 2014

Last updated

Aug 4, 2014By 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

Dr. Cristen Harris, PHD, RDN, CSSD, CDNPI 1609288026

Title

Single Member Manager

Phone

(425) 273-8577

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cristen Harris, LLC Doing business as

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.

• Cristen Harris, PHD, RDN

  • Registered Dietitian
  • Kenmore, WA
  • NPI 1609288026

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1558772855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18779 KENLAKE PL NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18779 KENLAKE PL NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283236",
            "telephone_number": "425-273-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM 2 NOURISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CRISTEN",
        "authorized_official_title_or_position": "SINGLE MEMBER MANAGER",
        "authorized_official_telephone_number": "425-273-8577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RDN, CSSD, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60096825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Cristen Harris, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.