ANDERSONS NUTRITION (NPI# 1316337652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316337652 |
| Entity Type | Organization |
| Organization Name | ANDERSONS NUTRITION |
| Practice Address |
4904 S Power Rd St 188-106 Mesa AZ 85212 |
| Mailing Address |
4904 S Power Rd St 188-106 Mesa AZ 85212-3609 |
| Practice Telephone | 6027707611 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | NICOLE ANDERSON- GOODRICH (PRESIDENT) |
| Authorized Official Telephone | 6027707611 |
| Authorized Official Credential | MS, RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1038050 | AZ | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396221347 | Andersons Nutrition | Dietitian, Registered | 257 W Uwchlan Ave Ste 231, Downingtown, PA 19335-3587 | 2018-07-12 |
| 1508180829 | Andersons Nutrition | Dietitian, Registered | 3050 S Gilbert Rd, Chandler, AZ 85286 | 2010-03-15 |
| Street Address |
4904 S POWER RD ST 188-106 |
| City | MESA |
| State | AZ |
| Zip Code | 85212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801084124 | Nora Elizabeth Jansen Shank | Dietitian, Registered | 4904 S Power Rd, Suite 103-188, Mesa, AZ 85212 | 2007-10-11 |
| 1407464316 | Leanne Nicole Carpenter | Massage Therapist | 4904 S Power Rd, Mesa, AZ 85212-3609 | 2020-07-16 |
| 1497177992 | Jennifer Wynne Bopp Dale | Dietitian, Registered | 4904 S Power Rd, Mesa, AZ 85212-3609 | 2014-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595170 | Landon Hobbs | Dietitian, Registered | 4847 E Harmony Ave, Mesa, AZ 85206-3406 | 2020-07-10 |
| 1891312617 | Cassie M. Mitchell | Dietitian, Registered | 7253 E Catalina Ave, Mesa, AZ 85208-2070 | 2020-06-27 |
| 1932746575 | Patricia Ann Narducci | Dietitian, Registered | 8813 E Norwood Cir, Mesa, AZ 85207-1443 | 2019-12-02 |
| 1790281129 | Wendy Marie Green | Dietitian, Registered | 6124 E Brown Rd Ste 102, Mesa, AZ 85205-4959 | 2018-04-04 |
| 1912407446 | Tonya Lorraine Keyes-christianson | Dietitian, Registered | 1938 N 67th St, Mesa, AZ 85205-3776 | 2018-02-21 |
| 1447794235 | Crandall & Associates Consulting | Dietitian, Registered | 1930 N Arboleda, Suite 101, Mesa, AZ 85213-3212 | 2016-12-13 |
| 1215481650 | Audrey Lally | Dietitian, Registered | 2309 E Lynwood St, Mesa, AZ 85213-2229 | 2016-08-14 |
| 1932574472 | Darcy Leon | Dietitian, Registered | 11038 E Sutter Ave, Mesa, AZ 85212-2603 | 2015-12-09 |
| 1932530771 | Nutrifyi, LLC | Dietitian, Registered | 544 N Alma School Rd, #5, Mesa, AZ 85201-5473 | 2013-12-04 |
| 1093146128 | Antoinetta V Anselmo | Dietitian, Registered | 544 N Alma School Rd Unit 5, Mesa, AZ 85201-5474 | 2013-11-27 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on ANDERSONS NUTRITION.
| 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.