Amelia J Brunner
Individual provider Active NPI Nutrition Education Nutritionist · Monitor, WA
NPI 1932056579 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1932056579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- Practice address
- 4260 Kelly Rd
Monitor, WA 98836-5924 - Phone
- (509) 669-5425
- NPI assigned
- Mar 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | WA | Yes |
Addresses
Primary practice location
4260 Kelly Rd
Monitor, WA 98836-5924
Mailing address
PO Box 397
Monitor, WA 98836-0397
Phone (509) 669-5425
Other providers in Monitor, WA
All providers in Monitor, WA · Nutrition Education Nutritionist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.