Organization Active NPI

Getlean15Llc

Doing business as Lift Personal Training and Nutrition

  • Community Health Clinic/Center
  • Liberty Lake, WA
National Provider Identifier
1922800671
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Shaun Elaine JohnsonNPI 1861288185
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)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Getlean15Llc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.