OrganizationActive
Fern Life Center
NPI 1245623024 · Health Service Clinic/Center · Issaquah, WA
Provider details
- NPI number
- 1245623024
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Fitzgerald, Nutritionist(425) 391-3376
- License
- 020710DI00000858 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 Newport Way Nw
Suite B
Issaquah, WA 98027-3116
Phone: (425) 391-3376
Fax: (425) 391-3378
Street-level locationGet directions
Mailing address
410 Newport Way Nw
Issaquah, WA 98027-3116
Registry dates
- Enumerated
- 2015-03-18
- Last updated
- 2015-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.