UPSTREAM WELLNESS
NPI 1881544633
Nutritionist - Nutrition, Education in Boulder Creek, CA

Active since January 31, 2026
120 MAYFAIR RD, BOULDER CREEK, CA 95006(831) 337-8435 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Upstream Wellness NPPES

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

UPSTREAM WELLNESS (NPI 1881544633) is a healthcare organization registered as a nutrition, education in Boulder Creek, California and active in the NPI registry since January 2026. The organization lists Stephanie Michelle Carroll Strudley, Functional Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1881544633
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameUPSTREAM WELLNESS
Location Address120 MAYFAIR RDBoulder Creek, CA 95006-9401
Mailing Address120 Mayfair RdBoulder Creek, CA 95006-9401 · (831) 337-8435 · Fax (831) 331-2877
Organization SubpartNo
Authorized OfficialStephanie Michelle Carroll StrudleyFunctional Nutritionist · (831) 337-8435
Enumeration DateJanuary 31, 2026
NPPES CertifiedJanuary 31, 2026
NPI 1881544633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedNutritionistTaxonomy 133N00000X
120 MAYFAIR RD, Boulder Creek, CA 95006

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nutritionist
120 MAYFAIR RD
BOULDER CREEK, CA 95006

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 Upstream Wellness's NPI number?

The NPI number for Upstream Wellness is 1881544633. It was assigned to this organization in the NPPES registry on January 31, 2026.

Where is Upstream Wellness located?

Upstream Wellness is located at 120 Mayfair Rd, Boulder Creek, CA 95006. The listed phone number is (831) 337-8435.

What is Upstream Wellness'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 Upstream Wellness was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.