Healthcare Provider Details

I. General information

NPI: 1144109638
Provider Name (Legal Business Name): NADA HANAFIEH MS,RD,LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10951 LAKEVIEW AVE STE A
LENEXA KS
66219-1331
US

IV. Provider business mailing address

9744 SUNSET CIR
LENEXA KS
66220-3726
US

V. Phone/Fax

Practice location:
  • Phone: 913-553-0945
  • Fax:
Mailing address:
  • Phone: 785-491-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3387
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: