Organization Active NPI

Modulla Health LLC

  • Nutritionist
  • Bellevue, WA
National Provider Identifier
1598236572
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
MODULLA HEALTH LLC
Practice address
14150 NE 20TH St Ste F1-182
Bellevue, WA 98007-3700
Phone
(425) 332-4884
Fax
(425) 382-5121
NPI assigned
Dec 17, 2018
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Dr. Ali Arjomand, PHD, CNNPI 1487122156
Title
Director
Phone
(425) 332-4884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

14150 NE 20TH St Ste F1-182
Bellevue, WA 98007-3700

Mailing address

14150 NE 20TH St Ste F1-182
Bellevue, WA 98007-3700
Phone (425) 332-4884

National Provider Directory

National Provider Directory

Locations

14150 NE 20th St
Ste F1182
Bellevue, WA 98007
Phone (425) 332-4884

5400 Carillon Pt
Bldg 5000
Kirkland, WA 98033
Phone (206) 650-5902

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": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1598236572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST STE F1-182",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700",
            "telephone_number": "425-332-4884",
            "fax_number": "425-382-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST STE F1-182",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700",
            "telephone_number": "425-332-4884",
            "fax_number": "425-382-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODULLA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "ARJOMAND",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-332-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.