Active NPI
Daishawn Roylance, RD
- Registered Dietitian
- Glendale, AZ
National Provider Identifier
1053288654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86375384
- Practice address
- 18001 N 79TH Ave Ste A12
Glendale, AZ 85308-8398 - Phone
- (623) 399-6825
- Fax
- (623) 505-3474
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86375384 | AZ | Primary |
Addresses
Primary practice location
18001 N 79TH Ave Ste A12
Glendale, AZ 85308-8398
Mailing address
18001 N 79TH Ave Ste A12
Glendale, AZ 85308-8398
Phone (623) 399-6825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18001 N 79TH Ave
Suite A12
Glendale, AZ 85308-8398
Phone (623) 399-6825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86375384 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am Nutrition Services | Dietitian, Registered | Current | Accepting new patients |
Locations
18001 N 79th Ave
Glendale, AZ 85308
Phone (480) 269-1562
18001 N 79th Ave
Ste A12
Glendale, AZ 85308
Phone (623) 321-5380
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1053288654",
"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": "853088398",
"telephone_number": "623-399-6825",
"fax_number": "623-505-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYLANCE",
"first_name": "DAISHAWN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86375384",
"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 Oct 20, 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.