Individual provider Active NPI

Stephanie Jane Espinoza, MA, RDN

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1154988400
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
724270 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 140
Phoenix, AZ 85028-3024
Phone
(602) 730-4535
Fax
(602) 834-9425
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 724270 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 140
Phoenix, AZ 85028-3024

Mailing address

6454 E June St
Mesa, AZ 85205-3716
Phone (602) 400-5419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708001869 AZ Practitioner - Registered Dietitian Or Nutrition Professional 5991185829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander Solutions LLCGroup PAC ID 8224370457, 11 clinicians

Practice addresses (Care Compare)

2373 E Baseline Rd
Suite 102
Gilbert, AZ 85234-2477
Phone (480) 266-4122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
724270AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Solutions LLC Dietitian, Registered CurrentSince Jan 15, 2025 Accepting new patients
Red Mountain Dietitian Services LLC Dietitian, Registered CurrentSince Jan 15, 2025 Accepting new patients
Soal Wellness LLC CurrentSince Feb 7, 2024 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

2373 E Baseline Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 266-4122

2929 N Power Rd
Mesa, AZ 85215
Phone (480) 266-4122

2929 N Power Rd
Ste 101
Mesa, AZ 85215
Phone (480) 266-4122

11209 N Tatum Blvd
Ste 140
Phoenix, AZ 85028
Phone (480) 360-2282

Organizations & group practices 4

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1154988400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 E JUNE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852053716",
            "telephone_number": "602-400-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283024",
            "telephone_number": "602-730-4535",
            "fax_number": "602-834-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "STEPHANIE",
        "middle_name": "JANE",
        "credential": "MA, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "724270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 11, 2024; 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.