Provider Demographics
NPI:1598631293
Name:RISING NUTRITION, PLLC.
Entity type:Organization
Organization Name:RISING NUTRITION, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:206-234-5104
Mailing Address - Street 1:6426 LOMBARD AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-4814
Mailing Address - Country:US
Mailing Address - Phone:206-234-5104
Mailing Address - Fax:206-656-5583
Practice Address - Street 1:6426 LOMBARD AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-4814
Practice Address - Country:US
Practice Address - Phone:206-234-5104
Practice Address - Fax:206-656-5583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty