Active NPI
Andrea Likens
- Registered Dietitian
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6656
- Practice address
- 1629 N 45TH St
Seattle, WA 98103-6701 - Phone
- (206) 548-5850
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND6656 | FL | Primary |
Addresses
Primary practice location
1629 N 45TH St
Seattle, WA 98103-6701
Mailing address
1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114
Other practice location 1
350 N Clyde Morris Blvd
Suite 9
Daytona Beach, FL 32114-2733
Phone (386) 238-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1629 N 45TH St
Seattle, WA 98103-6701
Phone (206) 633-3350
1930 Post Aly
Seattle, WA 98101-1074
Phone (206) 728-4143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND6656 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients |
Locations
1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950
12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326
9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981
1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1245696301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 12TH AVE S STE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442712",
"telephone_number": "206-548-3114",
"fax_number": "206-962-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 N 45TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036701",
"telephone_number": "206-548-5850"
}
],
"practiceLocations": [
{
"address_1": "350 N Clyde Morris Blvd",
"address_2": "Suite 9",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142733",
"country_code": "US",
"telephone_number": "386-238-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIKENS",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.