Healthcare Provider Details

I. General information

NPI: 1316453178
Provider Name (Legal Business Name): JOHANNA RICHTER NUTRITION WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ALASKAN WAY # 405
SEATTLE WA
98121-1134
US

IV. Provider business mailing address

2801 ALASKAN WAY # 405
SEATTLE WA
98121-1134
US

V. Phone/Fax

Practice location:
  • Phone: 206-880-0108
  • Fax:
Mailing address:
  • Phone: 206-880-0108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164007118
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: JOHANNA RICHTER
Title or Position: REGISTERED DIETITIAN NUTRITIONIST
Credential: MS, RDN, LDN
Phone: 206-880-0108