Antoinetta V Anselmo, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

987208 Issued in AZ

Practice address

544 N Alma School Rd Unit 5
Mesa, AZ 85201-5474

Phone

(602) 803-4522

Fax

(480) 621-8109

NPI assigned

Nov 27, 2013

Last updated

Mar 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nutrifyi, LLC

  • Registered Dietitian
  • Mesa, AZ
  • NPI 1932530771
  Authorized official Same address or phone

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1093146128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 N ALMA SCHOOL RD UNIT 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015474",
            "telephone_number": "602-803-4522",
            "fax_number": "480-621-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 N ALMA SCHOOL RD UNIT 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015474",
            "telephone_number": "602-803-4522",
            "fax_number": "480-621-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMO",
        "first_name": "ANTOINETTA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "987208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurianna Anobile
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• Reem Anouti
• Baynazier Ansari, MD
• Amy H Anson
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• Clint Anthony, MD
• Lina Anthony, MD
• Luciana G. Anthony, WHNP

• Registered Dietitian in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.