NORTHWEST FUNCTIONAL NUTRITION, LLC – Clinic/Center, NPI 1760022156

NORTHWEST FUNCTIONAL NUTRITION, LLC is a healthcare provider. based in Bothell, Washington. specializing in Clinic/Center. The NPI Number for NORTHWEST FUNCTIONAL NUTRITION, LLC is 1760022156

Main info

Organization
Name
NORTHWEST FUNCTIONAL NUTRITION, LLC
NPI
1760022156
Phone
(425) 588-0480
Address
19125 N CREEK PKWY STE 120
Authorized Official
NIKKI GEPNER OWNER RD, CD
Enumeration Date
14 January 2020
Last Update Date
21 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for NORTHWEST FUNCTIONAL NUTRITION, LLC

  • 19125 N CREEK PKWY STE 120

    BOTHELL, WA 980118000

    Phone: (425) 588-0480

    Type: Location

  • 16818 140TH AVE NE

    WOODINVILLE, WA 980729001

    Phone: (425) 588-0480

    Fax: (833) 464-0125

    Type: Location

  • PO BOX 821092

    KENMORE, WA 980280999

    Phone: (425) 588-0480

    Fax: (833) 464-0125

    Type: Mailing

  • 16818 140th Ave NE

    Woodinville, WA 980729001

    Phone: (425) 588-0480

    Fax: (833) 464-0125

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98011)

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Reviews

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Frequently asked questions

How do payers reference NORTHWEST FUNCTIONAL NUTRITION, LLC?
For NORTHWEST FUNCTIONAL NUTRITION, LLC, use NPI 1760022156 as the unique 10-digit identifier.
Would NORTHWEST FUNCTIONAL NUTRITION, LLC appear as active to a payer?
You can treat NORTHWEST FUNCTIONAL NUTRITION, LLC as active for directory purposes; confirm clinical privileges separately.
How would a patient describe NORTHWEST FUNCTIONAL NUTRITION, LLC's focus?
For NORTHWEST FUNCTIONAL NUTRITION, LLC, the primary taxonomy reads as Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Washington is NORTHWEST FUNCTIONAL NUTRITION, LLC registered?
Use Bothell, Washington as the headline location for NORTHWEST FUNCTIONAL NUTRITION, LLC here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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