Individual provider Active NPI

Fadoua Hilal Farhane, RDN,LD

  • Registered Dietitian
  • Alpharetta, GA
National Provider Identifier
1407589831
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86099332 Issued in VA
Practice address
580 Windermere Park CT
Alpharetta, GA 30022-6660
Phone
(470) 908-2241
NPI assigned
Jul 4, 2022
Last updated
Jul 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86099332 VA Primary

Addresses

Primary practice location

580 Windermere Park CT
Alpharetta, GA 30022-6660

Mailing address

580 Windermere Park CT
Alpharetta, GA 30022-6660
Phone (470) 908-2241

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

LicenseStateTypeSpecialty
86099332VAMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1407589831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WINDERMERE PARK CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226660",
            "telephone_number": "470-908-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WINDERMERE PARK CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226660",
            "telephone_number": "470-908-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHANE",
        "first_name": "FADOUA",
        "middle_name": "HILAL",
        "name_prefix": "Mrs.",
        "credential": "RDN,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86099332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.