Organization Active NPI

New Leaf Nutrition, PLLC

  • Clinic/Center
  • Burien, WA
National Provider Identifier
1902132160
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DI00002075 Issued in WA
Legal business name
NEW LEAF NUTRITION, PLLC
Practice address
652 SW 150TH St
Burien, WA 98166-1943
Phone
(206) 274-9432
Fax
(206) 274-4810
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Danielle Venhuizen, RDNPI 1336317056
Title
Owner
Phone
(206) 618-8245

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DI00002075 WA Primary

Addresses

Primary practice location

652 SW 150TH St
Burien, WA 98166-1943

Mailing address

3809 SW Graham St
Seattle, WA 98126-3035
Phone (206) 618-8245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000290 WA Part B Supplier - Clinic/Group Practice 5092854273 Receives reassigned benefits from 1 practitioner
Practice locations: Burien, WA

National Provider Directory

National Provider Directory

Locations

636 SW 152nd St
Ste D
Burien, WA 98166
Phone (206) 226-4394

Practitioners & affiliated clinicians

Practitioners 2

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": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1902132160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SW GRAHAM ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263035",
            "telephone_number": "206-618-8245",
            "fax_number": "206-274-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 SW 150TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661943",
            "telephone_number": "206-274-9432",
            "fax_number": "206-274-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "VENHUIZEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-618-8245",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "DI00002075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.