Provider Demographics
NPI:1073989307
Name:NAMASTE NUTRITIONIST
Entity Type:Organization
Organization Name:NAMASTE NUTRITIONIST
Other - Org Name:NAMASTE NUTRITIONIST, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, RDN
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:206-486-5108
Mailing Address - Street 1:1523 132ND ST SE STE C
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7200
Mailing Address - Country:US
Mailing Address - Phone:206-486-5108
Mailing Address - Fax:206-331-4193
Practice Address - Street 1:2202 64TH AVE WE
Practice Address - Street 2:
Practice Address - City:MOUNT LAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043
Practice Address - Country:US
Practice Address - Phone:206-486-5108
Practice Address - Fax:206-331-4193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-21
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
WA60252564261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1053652032OtherNPI
WA1073989307OtherGROUP NPI