Renewtrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RENEWTRITION, LLC

Practice address

4239 Evanston Ave N
Seattle, WA 98103-7206

Phone

(206) 414-8762

Fax

(833) 291-4245

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Nicole R Lyon, RDN, CD, RYTNPI 1295234292

Title

Registered Dietitian

Phone

(214) 500-7332

Specialties & licenses 1

Addresses

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole R Lyon, RD, CD, RYT

  • Registered Dietitian
  • Seattle, WA
  • NPI 1295234292

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1629679949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 EVANSTON AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037206",
            "telephone_number": "206-414-8762",
            "fax_number": "833-291-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 EVANSTON AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037206",
            "telephone_number": "206-414-8762",
            "fax_number": "833-291-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "214-500-7332",
        "authorized_official_credential": "RDN, CD, RYT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "833-291-4245",
            "affiliation": "N",
            "endpointDescription": "Fax #",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4239 Evanston Ave N",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981037206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@renewtritiononline.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4239 Evanston Ave N",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981037206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jarred John Rendon
• Amy Renee, RN
• Sally Renee, LMP
• Renegades for Life Inc
• Marissa Renella, MT-BC, MTL
• Mary Ann Renfro, P.T.
• Andrea Renfroe, M.S.
• John James Renfrow
• Kenna Renfrow, L.M.P.
• Rebecca Lynn Renfrow, LMHCA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.