Individual provider Active NPI

Preston Harris, PHD, RDN

  • Registered Dietitian
  • Sahuarita, AZ
National Provider Identifier
1164105102
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86358244 Issued in AZ
Practice address
719 W Calle Coroza
Sahuarita, AZ 85629-7825
Phone
(520) 784-8134
NPI assigned
Aug 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 86358244 AZ Primary

Addresses

Primary practice location

719 W Calle Coroza
Sahuarita, AZ 85629-7825

Mailing address

719 W Calle Coroza
Sahuarita, AZ 85629-7825
Phone (520) 784-8134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003137 AZ Practitioner - Registered Dietitian Or Nutrition Professional 5597203133 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
Group practices
Duke Nutrition Experts LLCGroup PAC ID 1759657224, 7 clinicians

Practice addresses (Care Compare)

1846 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone (520) 477-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
86358244AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Nutrition Experts, LLC Dietitian, Registered CurrentSince May 26, 2024 Accepting new patients

Locations

1846 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 329-2699

5151 E Broadway Blvd
Ste 1600
Tucson, AZ 85711
Phone (520) 314-1545

3430 E Sunrise Dr
Ste 180
Tucson, AZ 85718
Phone (520) 348-0938

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1164105102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W CALLE COROZA",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856297825",
            "telephone_number": "520-784-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W CALLE COROZA",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856297825",
            "telephone_number": "520-784-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PRESTON",
        "credential": "PHD, RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86358244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.