Individual provider Active NPI

Audrey L Pitigliano, C.N.

  • Nutritionist
  • Sumner, WA
National Provider Identifier
1598949810
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1818 Main St
Suite C
Sumner, WA 98390-1849
Phone
(253) 988-0967
Fax
(253) 848-5224
NPI assigned
Dec 21, 2007
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X WA Primary

Addresses

Primary practice location

1818 Main St
Suite C
Sumner, WA 98390-1849

Mailing address

5725 104TH St E
Puyallup, WA 98373-4224
Phone (253) 988-0967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1598949810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 104TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734224",
            "telephone_number": "253-988-0967",
            "fax_number": "253-848-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 MAIN ST",
            "address_2": "SUITE C",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901849",
            "telephone_number": "253-988-0967",
            "fax_number": "253-848-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITIGLIANO",
        "first_name": "AUDREY",
        "middle_name": "L",
        "credential": "C.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.