NORTH SOUND NOURISHMENT AND RECOVERY LLC
NPI 1174037402
Dietitian, Registered in Everett, WA

NPI Status: Active since November 22, 2017

Contact Information

3213 WETMORE AVE APT 13
EVERETT, WA
ZIP 98201
Phone: (206) 660-3225
Fax: (425) 328-1891

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  • Organization
  • Dietitian, Registered
  • Accepts Insurance
  • CLIA Number: 50D2183215
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About NORTH SOUND NOURISHMENT AND RECOVERY LLC

This page provides the complete NPI Profile along with additional information for North Sound Nourishment And Recovery Llc, a provider established in Everett, Washington operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1174037402 assigned on November 2017. The practitioner's primary taxonomy code is 133V00000X with license number DI00001163 (WA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Heather Paves Ms, Rdn, Cd (Dietitian & Owner)

NPI
1174037402
Provider Name
NORTH SOUND NOURISHMENT AND RECOVERY LLC
Entity Type
Organization
Location Address
3213 WETMORE AVE APT 13 EVERETT, WA 98201
Location Phone
(206) 660-3225
Location Fax
(425) 328-1891
Mailing Address
3213 WETMORE AVE APT 13 EVERETT, WA 98201
Mailing Phone
(206) 660-3225
Mailing Fax
(425) 328-1891
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2017
Last Update Date
06-11-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
DI00001163
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133VN1004XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Pediatric

DI00001163 (WA)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEATHER PAVES MS, RDN, CD

Authorized Official Title
DIETITIAN & OWNER
Authorized Official Phone
(206) 660-3225

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2183215
Facility Type
Physician Office
Certificate Effective Date
May 01, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
JOHN ZHANG
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to North Sound Nourishment And Recovery Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174037402, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 0 + 3 + 1 + 4 + 4 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174037402.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174037402, enumerated as an "organization" on November 22, 2017.

The provider is located at 3213 WETMORE AVE APT 13 EVERETT, WA 98201 and the phone number is (206) 660-3225.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.