Active NPI
Daisy Waanders, RD
- Registered Dietitian
- Glendale, AZ
National Provider Identifier
1154100394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86168827
- Practice address
- 20325 N 51St Ave
Glendale, AZ 85308-5674 - Phone
- (602) 341-5248
- NPI assigned
- Sep 26, 2023
- Last updated
- Apr 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86168827 | CO | Primary |
Addresses
Primary practice location
20325 N 51St Ave
Glendale, AZ 85308-5674
Mailing address
324 Inverness Dr S Apt 3208
Englewood, CO 80112-6168
Phone (720) 436-2536
Other names 1
- Daisy Mercer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231214002172 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 7810346996 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86168827 | CO | MD | Registered Dietitian |
Interoperability endpoints
- https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1154100394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 INVERNESS DR S APT 3208",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801126168",
"telephone_number": "720-436-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085674",
"telephone_number": "602-341-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAANDERS",
"first_name": "DAISY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86168827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAISY",
"last_name": "MERCER",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.