PROACTIVE NUTRITION NPI 1467621706

NPI Information

  • NPI: 1467621706
  • Provider Name: PROACTIVE NUTRITION
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 13008 NE 125TH WAY
    KIRKLAND, WA
    ZIP 98034
  • Phone: (425) 814-8443

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NPI Details

PROACTIVE NUTRITION is a dietitian registered in Kirkland, WA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. PROACTIVE NUTRITION NPI is 1467621706. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13008 NE 125TH WAY
KIRKLAND, WA
ZIP 98034-726
Phone: (425) 814-8443

The provider's authorized official is Sheryl Hedberg .
The authorized official title is Admin Assistant and has the following contact phone number (425) 814-8443.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 2/20/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredDI00001006WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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