Fabulous Healing Nutrition & Wellness LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

FABULOUS HEALING NUTRITION & WELLNESS LLC

Doing business as

Fabulous Healing

Practice address

11285 NW 317TH PL
North Plains, OR 97133-6219

Phone

(503) 899-8204

Fax

(954) 908-6525

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Liat Nadler, MS, CNS, LDNPI 1538769146

Title

Founder

Phone

(503) 773-9170

Specialties & licenses 2

Addresses

Other names 1

• Fabulous Healing Doing business as

Practitioners 1

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

• Liat Nadler, MSCN

  • Registered Dietitian
  • North Plains, OR
  • NPI 1538769146

  Nutritionist

  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1720671787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 NW 317TH PL",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971336219",
            "telephone_number": "503-773-9170",
            "fax_number": "954-908-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 NW 317TH PL",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971336219",
            "telephone_number": "503-899-8204",
            "fax_number": "954-908-6525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2232 NW Pettygrove St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972102372",
            "country_code": "US",
            "telephone_number": "954-908-6525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FABULOUS HEALING NUTRITION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "LIAT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "503-773-9170",
        "authorized_official_credential": "MS, CNS, LD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fabulous Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nutrition Education Nutritionist in North Plains, OR
• Providers in North Plains, OR by specialty
• Nutrition Education Nutritionist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.