Kellie Farias

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86002331 Issued in CA

Practice address

325 9TH Ave
Seattle, WA 98104-2420

Phone

(206) 744-2202

NPI assigned

Dec 23, 2016

Reactivated

Aug 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Harborview Medical Center

  • Registered Dietitian
  • Seattle, WA
  • NPI 1467047324

  Dietitian, Registered

  NPD Authorized official
• Arc Counseling and Wellness

  • Psychologist
  • Claremont, CA
  • NPI 1861139073
  NPD (past)

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1639614845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 30TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042420",
            "telephone_number": "206-744-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAS",
        "first_name": "KELLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "deactivation_date": "2021-06-30",
        "reactivation_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86002331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzaneh Farhadi, MD
• Mariam Bassam Farhat, MD
• Elham Farhodi
• Zachary Farhood, M.D.
• Joann Lee Farias, CNA
• Fariha S. Farid, D.O.
• Mehrdad M Farid, MD
• Fajar Farimin
• Ruby T U Farinas, OTR/L
• Laurie S Faris, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.