Individual provider Active NPI

Tarah Glover, MS, CN, LMT

  • Nutritionist
  • Kirkland, WA
National Provider Identifier
1952886467
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU61602147 Issued in WA
Practice address
7014 116TH Ave NE Apt B
Kirkland, WA 98033-8131
Phone
(425) 922-1696
NPI assigned
Oct 1, 2018
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU61602147 WA Primary
Massage Therapist 225700000X MA60899384 WA

Addresses

Primary practice location

7014 116TH Ave NE Apt B
Kirkland, WA 98033-8131

Mailing address

7014 116TH Ave NE Apt B
Kirkland, WA 98033-8131
Phone (425) 922-1696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NU61602147WAMDNutritionist
MA60899384WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistika Health Group Nutritionist Past Accepting new patients
Balance of Opposites Wellness PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1952886467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 116TH AVE NE APT B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338131",
            "telephone_number": "425-922-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 116TH AVE NE APT B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338131",
            "telephone_number": "425-922-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "TARAH",
        "credential": "MS, CN, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU61602147",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60899384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.