Active NPI
Laili Abd Latif, MS RD CD
- Registered Dietitian
- Kennewick, WA
National Provider Identifier
1598924284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 724425
- Practice address
- 7102 West Okanogan Place
Benton Franklin Health District
Kennewick, WA 99336 - Phone
- (509) 460-4248
- Fax
- (509) 585-1525
- NPI assigned
- Jun 6, 2008
- 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 | 724425 | Primary |
Addresses
Primary practice location
7102 West Okanogan Place
Benton Franklin Health District
Kennewick, WA 99336
Mailing address
7102 West Okanogan Place
Kennewick, WA 99336
Phone (509) 460-4248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8267379 | Medicaid | WA |
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
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benton Franklin District Health Department | 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.
-
- Public Health or Welfare Agency
- Kennewick, WA
- NPI 1497752646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1598924284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7102 WEST OKANOGAN PLACE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "99336",
"telephone_number": "509-460-4248",
"fax_number": "509-585-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7102 WEST OKANOGAN PLACE",
"address_2": "BENTON FRANKLIN HEALTH DISTRICT",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "99336",
"telephone_number": "509-460-4248",
"fax_number": "509-585-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABD LATIF",
"first_name": "LAILI",
"credential": "MS RD CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "724425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8267379",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
- A Family Dental Center
- A Part of Our Family
- A.J.a.N Afh LLC
- Omar Uriel Abarca
- Abc Optometric Services Inc (Clearwater Family Eye Care)
- Jarniful Mustafa Abdul Razek, THW000111369
- Abdullah Alkanan BDS PLLC
- Ibrahim A Abdulrahman, MD
- Drew S Ableman, DO
- Accident Care Chiropractic PC (Accident Care Chiropractic of Kennewick)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.