Individual provider Active NPI

Chloe Amelia Omlid, MS, CN

  • Nutritionist
  • Seattle, WA
National Provider Identifier
1649934183
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU61214838 Issued in WA
Practice address
1900 N Northlake Way Ste 127
Seattle, WA 98103-9051
Phone
(206) 415-8345
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU61214838 WA Primary

Addresses

Primary practice location

1900 N Northlake Way Ste 127
Seattle, WA 98103-9051

Mailing address

18200 73Rd Ave NE Unit A213
Kenmore, WA 98028-7313

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NU61214838WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Past Accepting new patients

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1649934183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 73RD AVE NE UNIT A213",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980287313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N NORTHLAKE WAY STE 127",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039051",
            "telephone_number": "206-415-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMLID",
        "first_name": "CHLOE",
        "middle_name": "AMELIA",
        "name_prefix": "Ms.",
        "credential": "MS, CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU61214838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.