Provider Demographics
NPI:1538603139
Name:AVERKIOU, XENIA (MS, RD, CD, CDE)
Entity type:Individual
Prefix:MS
First Name:XENIA
Middle Name:
Last Name:AVERKIOU
Suffix:
Gender:F
Credentials:MS, RD, CD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24366
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0366
Mailing Address - Country:US
Mailing Address - Phone:206-598-1950
Mailing Address - Fax:206-598-2360
Practice Address - Street 1:4245 ROOSEVELT WAY NE # 354691
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6008
Practice Address - Country:US
Practice Address - Phone:206-598-6642
Practice Address - Fax:206-598-8664
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI 00001693133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered