MEDICARE: SIMPLYSATIATED, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1679414387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLYSATIATED, LLC

Provider Business Mailing Address
First Line	:	1111 W COLUMBIA WAY APT 421
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3618
Country	:	US
Telephone Number	:	360-334-3666
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 W COLUMBIA WAY APT 421
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3618
Country	:	US
Telephone Number	:	360-334-3666
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	CAELA STENSKE
Credential	:	RDN
Telephone Number	:	651-621-9560

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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