NPI Code Details Logo

NPI 1689160616

NPI 1689160616 : JOHANNA RICHTER NUTRITION WELLNESS LLC : SEATTLE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689160616
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    JOHANNA RICHTER NUTRITION WELLNESS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/02/2018
-----------------------------------------------------
    Last Update Date     |    03/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2801 ALASKAN WAY # 405 
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98121-1134
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-880-0108
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2801 ALASKAN WAY # 405 
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98121-1134
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-880-0108
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     JOHANNA M RICHTER 
-----------------------------------------------------
    Credential           |    MS, RDN
-----------------------------------------------------
    Telephone            |    206-880-0108
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171400000X
-----------------------------------------------------
    Taxonomy Name        |    Health & Wellness Coach
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    133V00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Dietitian
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.