NPIMap

Organization Active NPI

Nutrition Authority PLLC

  • Registered Dietitian
  • Puyallup, WA
National Provider Identifier
1659782167
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
#706866 Issued in NU
Legal business name
NUTRITION AUTHORITY PLLC
Practice address
3806 9TH St SW
Suite C
Puyallup, WA 98373
Phone
(253) 227-8284
Fax
(206) 350-2612
NPI assigned
May 19, 2014
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NUTRITION AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Ms. Brooke S. Douglas, RDN, CDNPI 1730387986
Title
Ceo/Dietitian
Phone
(253) 227-8284

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
Registered Dietitian 133V00000X #706866 NU Primary

Addresses

Primary practice location

3806 9TH St SW
Suite C
Puyallup, WA 98373

Mailing address

15308 136 Ave E
Puyallup, WA 98374
Phone (253) 227-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251013001858 WA Part B Supplier - Clinic/Group Practice 9537656749 Receives reassigned benefits from 8 practitioners
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory
Tax ID family
Nutrition Authority PLLC2 organizations share this tax ID, including this one
Part of
Nutrition Authority PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3806 9th St SW
Ste C
Puyallup, WA 98373
Phone (253) 227-8284

4411 2nd St SW
Ste 5
Puyallup, WA 98373
Phone (253) 227-4899

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1659782167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15308 136 AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98374",
            "telephone_number": "253-227-8284",
            "fax_number": "206-350-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 9TH ST SW",
            "address_2": "SUITE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-227-8284",
            "fax_number": "206-350-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION AUTHORITY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NUTRITION AUTHORITY",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/DIETITIAN",
        "authorized_official_telephone_number": "253-227-8284",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "#706866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.