Sound Nutrition Dynamics

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00000496 Issued in WA

Legal business name

SOUND NUTRITION DYNAMICS

Practice address

3702 Long Lake Dr SE
Lacey, WA 98503-4056

Phone

(360) 239-9186

NPI assigned

Nov 25, 2013

Last updated

Jul 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn WilsonNPI 1962648238

Title

Owner

Phone

(360) 239-9186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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.

• Dawn Marie Wilson, R.D.

  • Registered Dietitian
  • Lacey, WA
  • NPI 1962648238

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1861822082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD. SE",
            "address_2": "STE B #227",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035191",
            "telephone_number": "360-239-9186",
            "fax_number": "360-464-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 LONG LAKE DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034056",
            "telephone_number": "360-239-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND NUTRITION DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-239-9186"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00000496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeewon Kelly Son, MS, CCC-SLP
• Ka Son
• Sorem Family Chiropractic
• Sound Choice Health Center, P.S.
• Sound Connections Counseling & Consulting, LLC
• Sound Rehabilitation and Performance
• Sound Somatic Therapy, PLLC
• South Sound Adult Family Home LLC
• South Sound Audioloyg LLC
• Gregory South, PHARM D.

• Registered Dietitian in Lacey, WA
• Providers in Lacey, 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 25, 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.