Active NPI
Nadia Eleza Mahmud, RDN
- Registered Dietitian
- Bellevue, WA
National Provider Identifier
1124533666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60659682
- Practice address
- 2105 112TH Ave NE
Bellevue, WA 98004-2945 - Phone
- (425) 646-9000
- NPI assigned
- Dec 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | WA | ||
| Registered Dietitian | 133V00000X | 60659682 | WA | Primary |
Addresses
Primary practice location
2105 112TH Ave NE
Bellevue, WA 98004-2945
Mailing address
2622 10TH Ave E
Seattle, WA 98102-3901
Phone (310) 903-9513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60659682 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1124533666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 10TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023901",
"telephone_number": "310-903-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 112TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042945",
"telephone_number": "425-646-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMUD",
"first_name": "NADIA",
"middle_name": "ELEZA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-06",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60659682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.