Active NPI
Mak Nutrition Services
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1083369862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MAK NUTRITION SERVICES
- Practice address
- 4354 E Palo Verde Dr
Phoenix, AZ 85018-1128 - Phone
- (480) 316-3081
- NPI assigned
- Feb 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan A Kniskern, MS, RD
- Title
- Owner
- Phone
- (480) 316-3081
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4354 E Palo Verde Dr
Phoenix, AZ 85018-1128
Mailing address
4354 E Palo Verde Dr
Phoenix, AZ 85018-1128
Phone (480) 316-3081
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Phoenix, AZ
- NPI 1386386522
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645228800000",
"number": "1083369862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4354 E PALO VERDE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181128",
"telephone_number": "480-316-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4354 E PALO VERDE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181128",
"telephone_number": "480-316-3081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAK NUTRITION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-19",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A",
"authorized_official_last_name": "KNISKERN",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-316-3081",
"authorized_official_credential": "MS, RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.