Am Nutrition Services
Organization Active NPI Registered Dietitian · Glendale, AZ
NPI 1003011602 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1003011602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 875272 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Elizabeth McCallister, RD
- Title
- Dietitian
- Phone
- (623) 399-6825
Practitioners 68
-
Ilian Yadira Beltran, RD, MPH
-
Paige Bess, RD
-
Cassi Camacho, RDN
-
Michelle Cesa, RD
-
Madysen Couture, RD
-
Hannah Coven, RD
-
Anne Clare Curtin, MS, RDN
-
Julia Curtis, RD
-
Jessica Divis, RD
-
Baylee M Evans, RD
-
Hannah Francis, RD
-
Diane Gardner, RDN
-
Oryana Hannoona, RD
-
Eleni M Hatseras, R.D.
-
Amy McCallister, R.D.
-
Leah Paiz McCulley, R.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 (623) 336-2985
17505 N 79th Ave
Ste 111F
Glendale, AZ 85308
Phone (602) 290-4824
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
15333 N Pima Rd
Ste 35
Scottsdale, AZ 85260
10752 N 89th Pl
Ste B114
Scottsdale, AZ 85260
Phone (480) 951-4888
10752 N 89th Pl
Ste 114B
Scottsdale, AZ 85260
Phone (480) 553-9333
64 E Broadway Rd
Ste 205
Tempe, AZ 85282
Phone (602) 362-0460
871 Coronado Center Dr
#261
Henderson, NV 89052
871 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 830-9685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 875272 | AZ | Yes |
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
10000 N 31st Ave Ste C105
Phoenix, AZ 85051-9625
Phone (623) 399-6825
Other practice location 3
1910 S Stapley Dr Ste 221
Mesa, AZ 85204-6680
Phone (623) 399-6825
Other practice location 4
3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Phone (623) 399-6825
Other practice location 5
10825 W McDowell Rd Ste 220
Avondale, AZ 85392-5228
Phone (623) 399-6825
Other practice location 6
64 E Broadway Rd Ste 205
Tempe, AZ 85282-1377
Phone (623) 399-6825
Other practice location 7
1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone (702) 830-9685
Other practice location 8
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone (702) 830-9685
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V62714 | Other | NV | PTAN |
| Z115443 | Other | AZ | PTAN |
| 547661 | Medicaid | AZ |
Other providers in Glendale, AZ
- Shayla Alvarez
- Nathalie Alvear
- Alvin Mathew, DO, LLC
- Alyssa Jensen
- Alzaidi LLC
- Amanda Anderson, MMS, PA-C, PLLC
- Amar Palace LLC
- Amava Aesthetics LLC
- Arionne Ambrose
- Rasanna Simonne Ambrose
All providers in Glendale, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.