Brown Sugar Nutrition PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BROWN SUGAR NUTRITION PLLC

Practice address

13725 32ND Ave NE Apt B224
Seattle, WA 98125-3694

Phone

(406) 580-4930

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Imashi Fernando, MS, RDNPI 1891319513

Title

Registered Dietitian

Phone

(406) 580-4930

Specialties & licenses 1

Addresses

Practitioners 1

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

• Imashi Fernando, MS, RD

  • Registered Dietitian
  • Everett, WA
  • NPI 1891319513

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1841863024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 32ND AVE NE APT B224",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253694",
            "telephone_number": "406-580-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 32ND AVE NE APT B224",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253694",
            "telephone_number": "406-580-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN SUGAR NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "IMASHI",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "406-580-4930",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Browder, RN
• Tammy Neal Browder, CRNA
• Jessica Lynn Brower, ARNP
• Scot A Brower, M.D.
• Sharon Brown Kunin, D.O., M.S.
• Matt Brown- White, LMT
• Monica Zoe Brown-Ramos, MD
• Matt Brown-Ruegg, D.C.
• Aijiana Myette Chanelle Brown, AUD
• Alexis Marie Brown, ARNP

• 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 Jul 23, 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.