Active NPI
Haiku Nutritional Empowerment LLC
- Registered Dietitian
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- HAIKU NUTRITIONAL EMPOWERMENT LLC
- Practice address
- 15212 N 2ND St
Phoenix, AZ 85022-3610 - Phone
- (602) 935-8791
- NPI assigned
- Sep 30, 2021
- Last updated
- Apr 9, 2026
- 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
- Mrs. Kelly Renee Robers, RDN, CDCES
- Title
- Ceo
- Phone
- (602) 935-8791
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
15212 N 2ND St
Phoenix, AZ 85022-3610
Mailing address
15212 N 2ND St
Phoenix, AZ 85022-3610
Phone (602) 935-8791
Other practice location 1
2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187
Phone (602) 456-0146 ext. 60146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851799357 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.haikunutrition.net | Direct |
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, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Phoenix, AZ
- NPI 1851799357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1124790811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15212 N 2ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850223610",
"telephone_number": "602-935-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15212 N 2ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850223610",
"telephone_number": "602-935-8791"
}
],
"practiceLocations": [
{
"address_1": "2550 W Union Hills Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850275187",
"country_code": "US",
"telephone_number": "602-456-0146 x60146",
"fax_number": "833-441-1808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HAIKU NUTRITIONAL EMPOWERMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-30",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "ROBERS",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-935-8791",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RDN, CDCES"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851799357",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.haikunutrition.net",
"affiliation": "N",
"endpointDescription": "practice information and scheduling",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "15212 N 2nd St",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850223610",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.