ProActive Nutrition – Clinic/Center, NPI 1780831917

ProActive Nutrition is a healthcare provider. based in Kirkland, Washington. specializing in Clinic/Center. The organization holds a License No. 602401604 (WA). The NPI Number for ProActive Nutrition is 1780831917

Main info

Organization
Name
ProActive Nutrition
NPI
1780831917
Phone
(425) 814-8443
Address
13008 NE 125TH WAY
Authorized Official
SALLY L HARA OWNER MS, RD
Enumeration Date
19 August 2008
Last Update Date
19 August 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ProActive Nutrition

  • 13008, Northeast 125th Way, Kirkland, King County, Washington, 98034, United States

    KIRKLAND, WA 980347726

    Phone: (425) 814-8443

    Fax: (425) 814-4852

    Mailing address matches the actual address.

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 98034)

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Frequently asked questions

What unique ID ties claims to ProActive Nutrition?
NPI 1780831917 is assigned to ProActive Nutrition under the national enumeration system.
Is ProActive Nutrition's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ProActive Nutrition treat or focus on?
Patients typically see ProActive Nutrition under the specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place ProActive Nutrition?
The snapshot lists Kirkland, Washington for ProActive Nutrition; download NPPES for the complete set.
Is ProActive Nutrition a real provider?
This page reflects official NPPES data for NPI 1780831917. Always confirm identity and privileges with the practice and licensing boards.

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