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Deactivated NPI 1639614845 Deactivated / Inactive NPI Female Practitioner

Kellie Farias

Dietitian, Registered • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kellie Farias has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 23, 2016
NPI Deactivation Date June 30, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Kellie Farias was a registered Dietitian, Registered practicing in Seattle, WA. Throughout an active medical career spanning 5 years, Kellie Farias provided care at the practice location at 325 9TH AVE until profile deactivation on 2021-06-30.

Practice Location & Contact Primary Location

Practice Address

325 9th Ave

Seattle, WA 981042420

Telephone 2067442202
Associated Practice Facility / Clinic
🏢 Harborview Medical Center Facility NPI 1053359729

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
606 Specialists

Practicing in Seattle, WA (2154 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-06
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License CA 86002331

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sandra Walker , ARNP

Nurse Practitioner - Acute Care

NPI 1003008913

Advanced Registered Nurse Practitioner

Dr. Julia Visser , DPT

Physical Therapist

NPI 1003027780

Doctor of Physical Therapy

Genia Moncada

Pharmacist

NPI 1003029943
Jacqueline Kim , LICSW, MSW

Social Worker - Clinical

NPI 1003032244

Licensed Independent Clinical Social Worker, Master of Social Work

Diane Wheeler , MS, PA-C

Physician Assistant - Medical

NPI 1003045543

Master of Science, Physician Assistant (Certified)

Amelia Rivera

Physical Therapist

NPI 1003049982

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
NPI Profile Active August 06, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2021

Registered at 325 9TH AVE, SEATTLE, WA 981042420 (Tel: 2067442202)

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Updated Business Mailing Address August 06, 2021

Registered at 7410 30TH AVE NW, SEATTLE, WA 981174622

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Provider Name / Credentials Updated August 06, 2021

Recorded as KELLIE FARIAS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2021

Dietitian, Registered (License #86002331 in CA)

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NPI Profile Deactivated June 30, 2021

Record deactivated on June 30, 2021

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Updated Practice Location May 07, 2021

Registered at 325 9TH AVE, SEATTLE, WA 981042420 (Tel: 2067442202)

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Updated Business Mailing Address May 07, 2021

Registered at 7410 30TH AVE NW, SEATTLE, WA 981174622

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Provider Name / Credentials Updated May 07, 2021

Recorded as KELLIE FARIAS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2021

Dietitian, Registered (License #86002331 in CA)

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NPI Profile Deactivated March 09, 2021

Record deactivated on March 09, 2021

NPI Profile Active December 23, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 23, 2016

Registered at 101 N INDIAN HILL BLVD, #C1-200, CLAREMONT, CA 917114666 (Tel: 9093337434)

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Updated Business Mailing Address December 23, 2016

Registered at 101 N INDIAN HILL BLVD, #C1-200, CLAREMONT, CA 917114666

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Provider Name / Credentials Updated December 23, 2016

Recorded as KELLIE YAMAHATA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2016

Dietitian, Registered (License #86002331 in CA)

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Initial NPI Registration & Enumeration December 23, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639614845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2016
Last Update: August 06, 2021
Deactivation Date: June 30, 2021
Sole Proprietor: Yes

Mailing Address

7410 30th Ave Nw

Seattle, WA 981174622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.