Active NPI
Seanne Jo Safaii
- Registered Dietitian
- McCall, ID
National Provider Identifier
1255897708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-750
- Practice address
- 1100 Heaven's Gate CT. #1910
McCall, ID 83638 - Phone
- (208) 660-7950
- NPI assigned
- Feb 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D-750 | ID | Primary |
Addresses
Primary practice location
1100 Heaven's Gate CT. #1910
McCall, ID 83638
Mailing address
1100 Heaven's Gate CT. #1910
McCall, ID 83638
Phone (208) 660-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D-750 | Other | ID | IDAHO STATE BOARD OF MEDICINE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-750 | ID | 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": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1255897708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 HEAVEN'S GATE CT. #1910",
"city": "MCCALL",
"state": "ID",
"postal_code": "83638",
"telephone_number": "208-660-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 HEAVEN'S GATE CT. #1910",
"city": "MCCALL",
"state": "ID",
"postal_code": "83638",
"telephone_number": "208-660-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAII",
"first_name": "SEANNE",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE BOARD OF MEDICINE",
"identifier": "D-750",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in McCall, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.