Organization Active NPI

Am Nutrition Services

  • Registered Dietitian
  • Glendale, AZ
National Provider Identifier
1003011602
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
875272 Issued in AZ
Legal business name
AM NUTRITION SERVICES
Practice address
18001 N 79TH Ave Ste A12
Glendale, AZ 85308
Phone
(623) 399-6825
Fax
(623) 505-3474
NPI assigned
Jun 15, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Amy Elizabeth McCallister, RDNPI 1710044011
Title
Dietitian
Phone
(623) 399-6825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 875272 AZ Primary

Addresses

Primary practice location

18001 N 79TH Ave Ste A12
Glendale, AZ 85308

Mailing address

18001 N 79TH Ave Ste A12
Glendale, AZ 85308-8398
Phone (623) 399-6825

Other practice location 1

10752 N 89th Pl Ste 114B
Scottsdale, AZ 85260-6730
Phone (623) 399-6825

Other practice location 2

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone (702) 830-9685

Other practice location 3

10825 W McDowell Rd Ste 220
Avondale, AZ 85392-5228
Phone (623) 399-6825

Other practice location 4

871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone (702) 830-9685

Other practice location 5

1910 S Stapley Dr Ste 221
Mesa, AZ 85204-6680
Phone (623) 399-6825

Other practice location 6

3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Phone (623) 399-6825

Other practice location 7

10000 N 31st Ave Ste C105
Phoenix, AZ 85051-9625
Phone (623) 399-6825

Other practice location 8

64 E Broadway Rd Ste 205
Tempe, AZ 85282-1377
Phone (623) 399-6825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070627000063 AZ Part B Supplier - Clinic/Group Practice 1254430580 Receives reassigned benefits from 54 practitioners
Practice locations: Tempe, AZ; Scottsdale, AZ; Phoenix, AZ; Glendale, AZ; Mesa, AZ; Avondale, AZ; Chandler, AZ
O20200306001454 NV Part B Supplier - Clinic/Group Practice 1254430580 Receives reassigned benefits from 7 practitioners
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Locations

10825 W McDowell Rd
Ste 220
Avondale, AZ 85392
Phone (623) 748-1291

3100 W Ray Rd
Ste 200
Chandler, AZ 85226

17505 N 79th Ave
Ste 110
Glendale, AZ 85308
Phone (480) 757-5885

21505 N 78th Ave
Ste 130
Peoria, AZ 85382

10000 N 31st Ave
Ste C105
Phoenix, AZ 85051
Phone (602) 674-1068

4653 E Cotton Gin Loop
Ste 100
Phoenix, AZ 85040

10752 N 89th Pl
Ste 114B
Scottsdale, AZ 85260
Phone (480) 553-9333

10752 N 89th Pl
Ste B114
Scottsdale, AZ 85260
Phone (480) 951-4888

15333 N Pima Rd
Ste 35
Scottsdale, AZ 85260

64 E Broadway Rd
Ste 205
Tempe, AZ 85282
Phone (602) 362-0460

871 Coronado Center Dr
Henderson, NV 89052
Phone (213) 713-3164

871 Coronado Center Dr
#261
Henderson, NV 89052

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1003011602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE A12",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088398",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE A12",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10752 N 89th Pl Ste 114B",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606730",
            "country_code": "US",
            "telephone_number": "623-399-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 N Town Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446308",
            "country_code": "US",
            "telephone_number": "702-830-9685",
            "fax_number": "702-623-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10825 W McDowell Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925228",
            "country_code": "US",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Coronado Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523977",
            "country_code": "US",
            "telephone_number": "702-830-9685",
            "fax_number": "702-623-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 S Stapley Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046680",
            "country_code": "US",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 W Ray Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852262472",
            "country_code": "US",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 N 31st Ave Ste C105",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850519625",
            "country_code": "US",
            "telephone_number": "623-399-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 E Broadway Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852821377",
            "country_code": "US",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AM NUTRITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "MCCALLISTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "623-399-6825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "875272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.