Individual provider Active NPI

Ali Arjomand, PH.D.

  • Nutritionist
  • Kirkland, WA
National Provider Identifier
1487122156
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
5400 Carillon Point
BLDG 5000 Fourth Floor
Kirkland, WA 98033-7357
Phone
(206) 650-5902
NPI assigned
Nov 10, 2018
Last updated
Jan 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

5400 Carillon Point
BLDG 5000 Fourth Floor
Kirkland, WA 98033-7357

Mailing address

5400 Carillon Point
BLDG 5000 4TH Floor
Kirkland, WA 98033
Phone (425) 576-4023

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Modulla Health LLC Nutritionist Current Accepting new patients

Locations

5400 Carillon Pt
Bldg 5000
Kirkland, WA 98033
Phone (206) 650-5902

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1487122156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CARILLON POINT",
            "address_2": "BLDG 5000 4TH FLOOR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98033",
            "telephone_number": "425-576-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CARILLON POINT",
            "address_2": "BLDG 5000 FOURTH FLOOR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337357",
            "telephone_number": "206-650-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARJOMAND",
        "first_name": "ALI",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-10",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.

Verify at the official NPI Registry.