Healthcare Provider Details

I. General information

NPI: 1700368420
Provider Name (Legal Business Name): SENSIBLY SPROUTED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 BELLWETHER WAY STE 223
BELLINGHAM WA
98225-2914
US

IV. Provider business mailing address

12 BELLWETHER WAY STE 223
BELLINGHAM WA
98225-2914
US

V. Phone/Fax

Practice location:
  • Phone: 360-230-8202
  • Fax: 360-682-3732
Mailing address:
  • Phone: 360-230-8202
  • Fax: 360-682-3732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE BRITTANY SMITH
Title or Position: CEO
Credential: MS, RDN, CD
Phone: 360-230-8183