Active NPI
Britta L Storm, CN
- Nutritionist
- Puyallup, WA
National Provider Identifier
1952912446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 61035734
- Practice address
- 1002 39TH Ave SW Ste 200
Puyallup, WA 98373-3813 - Phone
- (855) 328-4543
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 61035734 | WA | Primary |
Addresses
Primary practice location
1002 39TH Ave SW Ste 200
Puyallup, WA 98373-3813
Mailing address
4621 N Visscher St
Tacoma, WA 98407-2020
Phone (253) 273-3896
Other names 1
- Britta L Youngquist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 4, 2022 through May 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61035734 | WA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1952912446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 N VISSCHER ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984072020",
"telephone_number": "253-273-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 39TH AVE SW STE 200",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733813",
"telephone_number": "855-328-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORM",
"first_name": "BRITTA",
"middle_name": "L",
"credential": "CN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "61035734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTA",
"last_name": "YOUNGQUIST",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.