Active NPI
Getlean15Llc
Doing business as Lift Personal Training and Nutrition
- Community Health Clinic/Center
- Liberty Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- GETLEAN15LLC
- Doing business as
- Lift Personal Training and Nutrition
- Practice address
- 21651 E Country Vista Dr Ste C
Liberty Lake, WA 99019-7709 - Phone
- (509) 928-0454
- NPI assigned
- Mar 25, 2025
- Last updated
- Mar 25, 2025
- 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
- Shaun Elaine Johnson
- Title
- Owner/Master Trainer
- Phone
- (509) 928-0454
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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Health Maintenance Organization | 302R00000X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
21651 E Country Vista Dr Ste C
Liberty Lake, WA 99019-7709
Mailing address
21651 E Country Vista Dr Ste C
Liberty Lake, WA 99019-7709
Phone (509) 928-0454
Other names 1
- Lift Personal Training and Nutrition
National Provider Directory
National Provider Directory- Tax ID family
- Getlean15Llc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lift Personal Training and Nutrition
- Health Educator
- Liberty Lake, WA
- NPI 1437945755
Locations
21651 E Country Vista Dr
Ste C
Liberty Lake, WA 99019
Phone (509) 928-0454
Practitioners & 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.
-
- Health Educator
- Liberty Lake, WA
- NPI 1861288185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1922800671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21651 E COUNTRY VISTA DR STE C",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197709",
"telephone_number": "509-928-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21651 E COUNTRY VISTA DR STE C",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197709",
"telephone_number": "509-928-0454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GETLEAN15LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SHAUN",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER/MASTER TRAINER",
"authorized_official_telephone_number": "509-928-0454"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lift Personal Training and Nutrition",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.