Organization Active NPI

Daily Nutrition for Life LLC

  • Registered Dietitian
  • Bellevue, WA
National Provider Identifier
1831600030
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DAILY NUTRITION FOR LIFE LLC
Practice address
15600 NE 8TH St Ste B1-707
Bellevue, WA 98008
Phone
(425) 830-1615
Fax
(425) 830-1615
NPI assigned
Oct 16, 2017
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Anahid Edjlali, MS RDN CDENPI 1104281948
Title
Registered Dietitian
Phone
(425) 900-3606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X NU
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

15600 NE 8TH St Ste B1-707
Bellevue, WA 98008

Mailing address

15600 NE 8TH St Ste B1-707
Bellevue, WA 98008-3927
Phone (425) 900-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180118002021 WA Part B Supplier - Clinic/Group Practice 3678832706 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

15600 NE 8th St
#B1707
Bellevue, WA 98008
Phone (425) 830-1615

15600 NE 8th St
Ste B1707
Bellevue, WA 98008
Phone (425) 830-1615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1831600030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST STE B1-707",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083927",
            "telephone_number": "425-900-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST STE B1-707",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98008",
            "telephone_number": "425-830-1615",
            "fax_number": "425-830-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY NUTRITION FOR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "EDJLALI",
        "authorized_official_first_name": "ANAHID",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "425-900-3606",
        "authorized_official_credential": "MS RDN CDE"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.