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PROACTIVE NUTRITION, LLC
NPI 1780831917
Clinic/Center in Kirkland, WA

Active since August 19, 2008
13008 NE 125TH WAY, KIRKLAND, WA 98034(425) 814-8443(425) 814-4852 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Proactive Nutrition, Llc NPPES

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

PROACTIVE NUTRITION, LLC (NPI 1780831917), doing business as Proactive Nutrition, is a healthcare organization registered as a clinic/center in Kirkland, Washington and active in the NPI registry since August 2008. The organization lists Sally L Hara, Owner, as its authorized official.

NPPES Registry Identity

NPI1780831917
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROACTIVE NUTRITION, LLC
Location Address13008 NE 125TH WAYKirkland, WA 98034-7726
Mailing Address13008 Ne 125th WayKirkland, WA 98034-7726 · (425) 814-8443 · Fax (425) 814-4852
Phone(425) 814-8443
Fax(425) 814-4852
Organization SubpartNo
Authorized OfficialSally L HaraOwner · (425) 814-8443
Enumeration DateAugust 19, 2008
✔ NPI 1780831917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · 602401604
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13008 NE 125TH WAY, Kirkland, WA 98034
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Other Names 1

Former Legal Business NameProactive Nutrition

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILE D ELLEFSEN RD
Dietitian, Registered
13008 NE 125TH WAY
KIRKLAND, WA 98034
King County (425) 814-8443
PROACTIVE NUTRITION
Dietitian, Registered
13008 NE 125TH WAY
KIRKLAND, WA 98034
King County (425) 814-8443

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 Proactive Nutrition, LLC's NPI number?

The NPI number for Proactive Nutrition, LLC is 1780831917. It was assigned to this organization in the NPPES registry on August 19, 2008. The provider was formerly known as Proactive Nutrition.

Where is Proactive Nutrition, LLC located?

Proactive Nutrition, LLC is located at 13008 NE 125th Way, Kirkland, WA 98034. The listed phone number is (425) 814-8443.

What is Proactive Nutrition, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Proactive Nutrition, LLC was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.