Active NPI
Experience Wellbeing, PLLC
- Nutritionist
- Kenmore, WA
National Provider Identifier
1912851684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- EXPERIENCE WELLBEING, PLLC
- Practice address
- 6410 NE 182ND St
Cottage
Kenmore, WA 98028-4813 - Phone
- (425) 676-4610
- NPI assigned
- Feb 20, 2026
- Last updated
- Feb 20, 2026
- 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
- Eileen Zayas-Montilla, CN
- Title
- Owner
- Phone
- (564) 676-4610
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
6410 NE 182ND St
Cottage
Kenmore, WA 98028-4813
Mailing address
PO Box 4172
Everett, WA 98204-0018
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, and the practitioner matching its NPPES authorized official.
-
- Nutritionist
- Everett, WA
- NPI 1477266070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771545600000",
"number": "1912851684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4172",
"city": "EVERETT",
"state": "WA",
"postal_code": "982040018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 NE 182ND ST",
"address_2": "COTTAGE",
"city": "KENMORE",
"state": "WA",
"postal_code": "980284813",
"telephone_number": "425-676-4610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPERIENCE WELLBEING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A",
"authorized_official_last_name": "ZAYAS-MONTILLA",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "564-676-4610",
"authorized_official_credential": "CN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.