DIABETIC NUTRITIONAL EDUCATION (NPI# 1164534095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164534095 |
Entity Type | Organization |
Organization Name | DIABETIC NUTRITIONAL EDUCATION |
Practice Address |
25500 N Norterra Dr Attn: Hcfs Phoenix AZ 85085-8200 |
Practice Telephone | 6023288400 |
Mailing Telephone | 6023288400 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-01-28 |
Authorized Official Name | KEVIN ELLIS (CHIEF MEDICAL DIRECTOR) |
Authorized Official Telephone | 6232772246 |
Authorized Official Credential | D.O |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
Street Address |
25500 N NORTERRA DR ATTN: HCFS |
City | PHOENIX |
State | AZ |
Zip Code | 85085-8200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699753525 | Ronald Cirullo | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085 | 2005-12-30 |
1669922324 | Connecticut General Life Insurance Company | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2016-10-06 |
1992259295 | Alegis Care Services LLC | General Practice | 25500 N Norterra Dr, Office #b-3b-200, Phoenix, AZ 85085-8200 | 2016-08-04 |
1972929248 | Hs Clinical Services PC | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2014-03-11 |
1063834323 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2014-01-06 |
1578900031 | Kenett Curtis Kelly | Pharmacist | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2013-05-23 |
1295094290 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2012-05-10 |
1295963338 | John Frederick Rausch Jr. | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2009-06-28 |
1952548315 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 25500 N Norterra Dr, Attn: Hcfs, Phoenix, AZ 85085-8200 | 2009-01-07 |
1578712329 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2008-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
Find all providers in zip 85085 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285143115 | Charles Higgins Jr. | Nutritionist | 600 N 4th St Apt 272, Phoenix, AZ 85004-4485 | 2017-09-22 |
1114301967 | Peggy Gomez | Nutritionist | 15251 N 45th Pl, Phoenix, AZ 85032-4840 | 2015-07-10 |
1003157975 | Elizabeth Berry | Nutritionist | 2018 E Granite View Dr, Phoenix, AZ 85048-4344 | 2013-03-02 |
1801143276 | Hannah Marie Tully | Nutritionist | 1030 E Utopia Rd, Phoenix, AZ 85024-1703 | 2012-08-05 |
1700165255 | Kevin Patrick Mccormick | Nutritionist | 2702 E Corrine Dr. Suite 1, Phoenix, AZ 85032 | 2011-08-15 |
1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
1891940672 | Suzanne Legleiter | Nutritionist | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2008-11-20 |
1801087150 | Jean L. Duncan | Nutritionist | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 | 2007-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029385 | Charlotte Marie Mcintyre | Nutritionist | 1000 E Water St Apt 7, Tucson, AZ 85719-3075 | 2020-10-01 |
1881219707 | Gabrielle Hungate | Nutritionist | 10754 N Chapin Ct, Tucson, AZ 85737-6634 | 2020-06-16 |
1538780598 | Penny Jean Stadick | Nutritionist | 20259 N Ryans Trl, Maricopa, AZ 85138-2446 | 2020-04-30 |
1275099020 | David Medansky | Nutritionist | 11980 W Shifting Sands Dr, Peoria, AZ 85383-2623 | 2019-02-18 |
1306345780 | Christine Inez Cintron | Nutritionist | 9231 E Carol Ave, Mesa, AZ 85208-2497 | 2018-02-12 |
1326568486 | Damian Dube | Nutritionist | 1503 N Rockwell St, Gilbert, AZ 85234-1436 | 2017-06-20 |
1427593391 | Martha Imelda Huizar | Nutritionist | 2214 E Vera Cruz Vis, Tucson, AZ 85713-5199 | 2016-12-30 |
1639622434 | Jenny Woelk | Nutritionist | 2757 S Pewter Dr, 102, Gilbert, AZ 85295-1282 | 2016-07-27 |
1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
1053783829 | Debra L Mcdaniel-perez | Nutritionist | 28784 E Aster Ln, Marana, AZ 85658-9223 | 2015-10-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.