Active NPI
Sadaf Ijaz
- Registered Dietitian
- Redmond, WA
National Provider Identifier
1720665847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 18245 NE 96TH Way Unit 104
Redmond, WA 98052-8636 - Phone
- (518) 951-5417
- NPI assigned
- Mar 25, 2021
- 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 | Primary |
Addresses
Primary practice location
18245 NE 96TH Way Unit 104
Redmond, WA 98052-8636
Mailing address
18245 NE 96TH Way Unit 104
Redmond, WA 98052-8636
Phone (518) 951-5417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | none | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1720665847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18245 NE 96TH WAY UNIT 104",
"city": "REDMOND",
"state": "WA",
"postal_code": "980528636",
"telephone_number": "518-951-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18245 NE 96TH WAY UNIT 104",
"city": "REDMOND",
"state": "WA",
"postal_code": "980528636",
"telephone_number": "518-951-5417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJAZ",
"first_name": "SADAF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "00",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "none",
"affiliation": "N",
"endpointDescription": "none",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "na",
"address_1": "18245 NE 96th Way Unit 104",
"city": "Redmond",
"state": "WA",
"country_code": "US",
"postal_code": "980528636",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Redmond, WA
- Ilhwan Hwang, DO
- Melissa Karen Hyman, MA, LMHC, ATR
- Todd Stephen Hymel, M.S.A., LAC
- Mustafa Muhammad Idris, DC
- Maureen Elizabeth Ihle, LMP
- Rachel Shigeko Inabata, PHD
- Inbalance Spinal Health & Wellness Center PLLC (Redmond Spinal Care)
- Daphna Inbar Rosman
- Ines Taylor Brown, PLLC
- Infinity Sports Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.