SAGE WISDOM NUTRITION LLC


Address: 1019 Pacific Ave, Suite 801, Tacoma, WA 98402-4443
Phone: 2532546945

SAGE WISDOM NUTRITION LLC (NPI# 1386029858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386029858
Entity Type Organization
Organization Name SAGE WISDOM NUTRITION LLC
Practice Address 1019 Pacific Ave
Suite 801
Tacoma
WA 98402-4443
Mailing Address Po Box 97115
Lakewood
WA 98497-0115
Practice Telephone 2532546945
Mailing Telephone 2535887911
Mailing Fax Number 2533656299
Enumeration Date 2015-07-27
Last Update Date 2015-07-27
Authorized Official Name SOPHIA L TASLER (PROVIDER/OWNER)
Authorized Official Telephone 2539514820
Authorized Official Credential BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
DI60417979 WA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LICENSE NO DI60417979 01

Office Location

Street Address 1019 PACIFIC AVE
SUITE 801
City TACOMA
State WA
Zip Code 98402-4443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508914714 Deborah Ann Jordan Counselor 1019 Pacific Ave, Suite 1121, Tacoma, WA 98402-4443 2007-01-08
1871969584 Emily Marie Robinson Nurse Practitioner 1019 Pacific Ave, Ste. 300, Tacoma, WA 98402-4443 2015-08-17
1407231376 Dahna Berkson Psychologist 1019 Pacific Ave, Ste. 300, Tacoma, WA 98402-4443 2015-07-21
1407283765 Rachel Krauskopf Walts Registered Nurse 1019 Pacific Ave, Suite 300, Tacoma, WA 98402-4443 2013-10-02
1154756484 Rebecca Khim Case Manager/Care Coordinator 1019 Pacific Ave, Tacoma, WA 98402-4443 2013-09-05
1093147290 Sirena Naomi Strout Registered Nurse 1019 Pacific Ave, Tacoma, WA 98402-4443 2013-07-30
1831531664 Marjorie Page Marriage & Family Therapist 1019 Pacific Ave, Tacoma, WA 98402-4443 2013-07-22
1669755203 Arch Behavioral Health, LLC Social Worker 1019 Pacific Ave, Suite 1022, Tacoma, WA 98402-4443 2011-09-20
1972760973 Ann Janelle Goetcheus Gehl Family Medicine 1019 Pacific Ave, Ste. 300, Tacoma, WA 98402-4443 2008-05-19
1437342912 Aimee Acebedo Psychologist 1019 Pacific Ave, Ste. 300, Tacoma, WA 98402-4443 2007-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548898638 Cimberleigh Mclean Social Worker 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 2020-04-01
1831735802 Nickolas Justin Wise Case Manager/Care Coordinator 1159 Market St, Tacoma, WA 98402 2019-11-25
1841835436 Michael Roy Bolden Counselor 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 2019-11-07
1073024980 Megan Elizabeth Charron Mourfield Denturist 725 St Helens Ave S, Tacoma, WA 98402 2017-10-18
1104367937 Janelle Santiago Counselor Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 2017-03-13
1891167862 Tanya Larson Therapy Community/Behavioral Health 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 2015-10-29
1609242148 Ashley Lorraine Dahlgren Peer Specialist 702 S 14th St., Tacoma, WA 98402 2015-08-19
1821416470 Nicole Villarreal Mccormick Acupuncturist 711 A Ct #100, Tacoma, WA 98402 2014-04-01
1184055824 Robyn Marie Callahan Social Worker 1102 A Street, Suite 202 B, Tacoma, WA 98402 2013-12-05
1679909410 Kristin Sweet Fischer Counselor 708 Market St Unit 411, Tacoma, WA 98402 2013-09-25
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285094425 Theresa Anne Devers Nutritionist 14116 50th Ave E, Tacoma, WA 98446-4163 2016-03-01
1467987537 Shirley Matenda Nutritionist 2202 S Cedar St, 300, Tacoma, WA 98405-2318 2017-04-26
1033665518 Maria Hunter Nutritionist 5929 Westgate Blvd Ste C, Tacoma, WA 98406-2567 2016-08-25
1144531476 Phuong V Truong Nutritionist 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2010-07-01
1073839288 Shannon E Fisher Nutritionist 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2010-04-13
1033346549 Denise Henke Nutritionist 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2009-06-11
1861629370 Mary Peterson Nutritionist 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2009-06-11
1396972717 Dana Sindelar Nutritionist 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2009-06-11
1689801193 Celeste Ayton Nutritionist 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2009-06-11
1942437462 Pamela Kramer Nutritionist 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2009-06-11
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Competitor

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City TACOMA
Zip Code 98402

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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