LIVING WELL KENT COLLABORATIVE
NPI 1760945968
Nutritionist - Nutrition, Education in Kent, WA

Active since April 13, 2019
515 W HARRISON ST STE 208, KENT, WA 98032(253) 457-2964 Get Directions Write a Review

NPPES record last updated: April 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Living Well Kent Collaborative NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WELL KENT COLLABORATIVE (NPI 1760945968) is a healthcare organization registered as a nutrition, education in Kent, Washington and active in the NPI registry since April 2019. The organization lists Shamso Issak, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760945968
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameLIVING WELL KENT COLLABORATIVE
Location Address515 W HARRISON ST STE 208Kent, WA 98032-4403
Mailing Address10605 Se 240th St # 232Kent, WA 98031-4903 · (253) 457-2964
Organization SubpartNo
Authorized OfficialShamso IssakExecutive Director · (253) 457-2964
Enumeration DateApril 13, 2019
NPI 1760945968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
515 W HARRISON ST STE 208, Kent, WA 98032

Other Names 1

Doing Business AsLiving Well Kent Collaborative

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Well Kent Collaborative's NPI number?

The NPI number for Living Well Kent Collaborative is 1760945968. It was assigned to this organization in the NPPES registry on April 13, 2019.

Where is Living Well Kent Collaborative located?

Living Well Kent Collaborative is located at 515 W Harrison St Ste 208, Kent, WA 98032. The listed phone number is (253) 457-2964.

What is Living Well Kent Collaborative's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Living Well Kent Collaborative was last updated on April 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.