Individual provider Active NPI

Cassi Camacho, RDN

  • Registered Dietitian
  • Chandler, AZ
National Provider Identifier
1093608762
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86371349 Issued in AZ
Practice address
1683 W Carla Vista Dr
Chandler, AZ 85224-4265
Phone
(209) 404-5909
NPI assigned
Jun 2, 2025
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 86371349 AZ Primary

Addresses

Primary practice location

1683 W Carla Vista Dr
Chandler, AZ 85224-4265

Mailing address

1683 W Carla Vista Dr
Chandler, AZ 85224-4265
Phone (209) 404-5909

Other practice location 1

3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Phone (623) 399-6825 ext. 45909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630003285 AZ Practitioner - Registered Dietitian Or Nutrition Professional 2062925324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am Nutrition ServicesGroup PAC ID 1254430580, 48 clinicians

Practice addresses (Care Compare)

3100 W Ray Rd
Suite 201
Chandler, AZ 85226-2472
Phone (623) 399-6825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86371349AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Am Nutrition Services Dietitian, Registered CurrentSince Jun 16, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Jun 13, 2026 Accepting new patients

Locations

3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446

18001 N 79th Ave
Ste A12
Glendale, AZ 85308
Phone (623) 321-5380

15333 N Pima Rd
Ste 305
Scottsdale, AZ 85260
Phone (480) 225-3236

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 2

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1093608762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 W CARLA VISTA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244265",
            "telephone_number": "209-404-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 W CARLA VISTA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244265",
            "telephone_number": "209-404-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 W Ray Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852262472",
            "country_code": "US",
            "telephone_number": "623-399-6825 x45909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "CASSI",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86371349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.