Alicia Ford, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60925857 Issued in WA

Practice address

700 NE 87TH Ave Ste 280
Vancouver, WA 98664

Phone

(360) 882-2778

Fax

(360) 604-1785

NPI assigned

Apr 10, 2015

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1528454105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4825",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084825",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE STE 280",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St",
            "address_2": "Suite 375",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271654",
            "country_code": "US",
            "telephone_number": "503-413-1600",
            "fax_number": "503-413-1915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 NE 87th Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98664",
            "country_code": "US",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "ALICIA",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-000980",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60925857",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OR",
            "license": "LD-D-000980",
            "primary": false
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "WA",
            "license": "DI60925857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044150",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience Fontaine
• Mary Fontana, LMHC
• Anthony Junious Fontijn
• Ivana Foo
• Foot Comfort Technologies (Pro Comfort Medical)
• Jeffrey Edward Ford, M.D.
• Kimberly Ford
• Mariah Kay Ford
• Rachel Ford, PT
• Shekinah Ford

• Registered Dietitian in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.