Active NPI
Nutrition With Heart LLC
- Registered Dietitian
- Edmonds, WA
National Provider Identifier
1871157487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION WITH HEART LLC
- Practice address
- 221 4TH Ave N
Edmonds, WA 98020-3116 - Phone
- (509) 481-0884
- NPI assigned
- Apr 29, 2019
- 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
- Mr. Michael James Lynch, REGISTERED DIETITIAN
- Title
- Founder
- Phone
- (509) 481-0884
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | Primary | ||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X |
Addresses
Primary practice location
221 4TH Ave N
Edmonds, WA 98020-3116
Mailing address
221 4TH Ave N
Edmonds, WA 98020-3116
Phone (509) 481-0884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
221 4th Ave N
Edmonds, WA 98020
Phone (425) 697-2100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Edmonds, WA
- NPI 1255750097
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563235200000",
"number": "1871157487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 4TH AVE N",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203116",
"telephone_number": "509-481-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 4TH AVE N",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203116",
"telephone_number": "509-481-0884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION WITH HEART LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-29",
"last_updated": "2019-07-16",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "509-481-0884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "REGISTERED DIETITIAN"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.