Active NPI
Radiant Wellness LLC
- Registered Dietitian
- Seattle, WA
National Provider Identifier
1851036263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- RADIANT WELLNESS LLC
- Practice address
- 825 21St Ave
Seattle, WA 98122-4756 - Phone
- (425) 610-7238
- NPI assigned
- Apr 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Perez
- Title
- Owner, Dietitian
- Phone
- (541) 993-0107
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
825 21St Ave
Seattle, WA 98122-4756
Mailing address
825 21St Ave
Seattle, WA 98122-4756
Phone (425) 610-7238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235786203 | Other | NPI TYPE 1 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tina.perez@radiantwellnessllc.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651190400000",
"number": "1851036263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 21ST AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224756",
"telephone_number": "425-610-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 21ST AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224756",
"telephone_number": "425-610-7238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "OWNER, DIETITIAN",
"authorized_official_telephone_number": "541-993-0107"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1235786203",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tina.perez@radiantwellnessllc.com",
"affiliation": "N",
"endpointDescription": "Clinician Gmail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "E-mail",
"address_1": "825 21st Ave",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981224756",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 29, 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.