Individual provider Active NPI

Emily Masek, MS, RDN, IBCLC

  • Registered Dietitian
  • Goodyear, AZ
National Provider Identifier
1043821465
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
140 N Litchfield Rd Ste 106
Goodyear, AZ 85338-1226
Phone
(602) 243-7277
NPI assigned
Aug 10, 2020
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X AZ Primary

Addresses

Primary practice location

140 N Litchfield Rd Ste 106
Goodyear, AZ 85338-1226

Mailing address

14780 W Van Buren St Apt 3040
Goodyear, AZ 85338-4765
Phone (702) 981-3719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002739 AZ Practitioner - Registered Dietitian Or Nutrition Professional 1850820804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, 117 clinicians

Practice addresses (Care Compare)

140 N Litchfield Rd
Suite 200And106
Goodyear, AZ 85338-1277
Phone (602) 243-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Dec 16, 2024 Accepting new patients
Mountain Park Health Center Current Accepting new patients
Mountain Park Health Center CurrentSince Dec 16, 2024 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

6975 W Glendale Ave
Glendale, AZ 85303
Phone (480) 729-0905

140 N Litchfield Rd
Ste 106
Goodyear, AZ 85338
Phone (480) 861-6426

140 N Litchfield Rd
Ste 200106
Goodyear, AZ 85338
Phone (623) 936-6795

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

303 E Baseline Rd
Phoenix, AZ 85042
Phone 6022776181135

4315 N Maryvale Pkwy
Phoenix, AZ 85031
Phone (623) 691-1700

635 E Baseline Rd
Phoenix, AZ 85042

1840 E Broadway Rd
Tempe, AZ 85282
Phone (602) 323-3444

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1043821465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 W VAN BUREN ST APT 3040",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384765",
            "telephone_number": "702-981-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N LITCHFIELD RD STE 106",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381226",
            "telephone_number": "602-243-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEK",
        "first_name": "EMILY",
        "credential": "MS, RDN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.