Provider Type Icon

PEACEHEALTH NPI 1376921627


NPI Information

NPI: 1376921627
Provider Name: PEACEHEALTH
Classification: Nutritionist - 133N00000X
Entity Type: Organization

CLIA Number: 50D2087473

Address:
400 NE MOTHER JOSEPH PL
VANCOUVER, WA
ZIP 98664
Phone: (360) 514-7550
Get Directions

PEACEHEALTH is a nutritionist in Vancouver, WA. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. PEACEHEALTH NPI is 1376921627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 NE MOTHER JOSEPH PL
VANCOUVER, WA
ZIP 98664-200
Phone: (360) 514-7550

The provider's authorized official is Steven Holt .
The authorized official title is Delegated Official and has the following contact phone number (360) 514-7044.

The CLIA number assigned to this NPI record is 50D2087473 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2015 and was last updated on 5/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G115102300MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.