Active NPI
Diala Basil Rafidi, RD
- Registered Dietitian
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86174216
- Practice address
- 445 Lexington Dr
Rochester Hills, MI 48307-3527 - Phone
- (248) 961-3787
- NPI assigned
- Apr 17, 2022
- Last updated
- Apr 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 86174216 | MI | Primary |
Addresses
Primary practice location
445 Lexington Dr
Rochester Hills, MI 48307-3527
Mailing address
445 Lexington Dr
Rochester Hills, MI 48307-3527
Phone (248) 961-3787
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86174216 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Nutrition Experts LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
1401 21st St
Ste 11625
Sacramento, CA 95811
2200 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (305) 898-9707
2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078
100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ONE Nutrition
- Registered Dietitian
- Springfield, IL
- NPI 1447014089
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650153600000",
"number": "1932842085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 LEXINGTON DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073527",
"telephone_number": "248-961-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 LEXINGTON DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073527",
"telephone_number": "248-961-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFIDI",
"first_name": "DIALA",
"middle_name": "BASIL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-17",
"last_updated": "2022-04-17",
"certification_date": "2022-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86174216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.