Individual provider Active NPI

Mary Michael Thompson, RDN

  • Registered Dietitian
  • Scottsdale, AZ
National Provider Identifier
1114600707
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86210723 Issued in AZ
Practice address
6503 E Paradise Dr
Scottsdale, AZ 85254-5059
Phone
(480) 720-0097
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 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 86210723 AZ Primary

Addresses

Primary practice location

6503 E Paradise Dr
Scottsdale, AZ 85254-5059

Mailing address

6503 E Paradise Dr
Scottsdale, AZ 85254-5059
Phone (480) 720-0097

Other names 1

  • Mary M Ahern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231127003033 AZ Practitioner - Registered Dietitian Or Nutrition Professional 4688022965 Practice locations: Tucson, AZ
I20240815002127 NC Practitioner - Registered Dietitian Or Nutrition Professional 4688022965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aeroflow Connect LLCGroup PAC ID 0143765008, 4 clinicians

Practice addresses (Care Compare)

500 Ridgefield CT
Asheville, NC 28806-2262
Phone 88834517804504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86210723AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Aeroflow Connect LLC Dietitian, Registered CurrentSince Jul 17, 2024 Accepting new patients

Locations

3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930

500 Ridgefield Ct
Asheville, NC 28806

3165 Sweeten Creek Rd
Asheville, NC 28803
Phone (828) 785-1091

310 Business Pkwy
Ste D
Greer, SC 29651
Phone (828) 631-7724

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1114600707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 E PARADISE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545059",
            "telephone_number": "480-720-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 E PARADISE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545059",
            "telephone_number": "480-720-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARY",
        "middle_name": "MICHAEL",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86210723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "AHERN",
            "middle_name": "M",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, 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.

Verify at the official NPI Registry.