Active NPI
Viva Nutrition Counseling LLC
- Registered Dietitian
- Puyallup, WA
National Provider Identifier
1982262457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- VIVA NUTRITION COUNSELING LLC
- Practice address
- 13220 96TH Avenue CT E
Puyallup, WA 98373-5528 - Phone
- (253) 376-7792
- Fax
- (253) 322-6227
- NPI assigned
- May 30, 2019
- 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
- Misty Nason, RD
- Title
- Registered Dietitian
- Phone
- (253) 376-7792
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
13220 96TH Avenue CT E
Puyallup, WA 98373-5528
Mailing address
13220 96TH Avenue CT E
Puyallup, WA 98373-5528
Phone (253) 376-7792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DI00001322 | Other | WA | WASHINGTON STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2910 S Meridian
Ste 206
Puyallup, WA 98373
Phone (253) 376-7792
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1982262457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13220 96TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983735528",
"telephone_number": "253-376-7792",
"fax_number": "253-322-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13220 96TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983735528",
"telephone_number": "253-376-7792",
"fax_number": "253-322-6227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVA NUTRITION COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-30",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "NASON",
"authorized_official_first_name": "MISTY",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "253-376-7792",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE LICENSE NUMBER",
"identifier": "DI00001322",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.