Bethany Hultstrand, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86031850

Practice address

220 S 12TH Ave
Phoenix, AZ 85007-3101

Phone

(602) 372-2142

NPI assigned

Feb 24, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1174063176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 N 38TH ST APT 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186339",
            "telephone_number": "612-644-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 12TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073101",
            "telephone_number": "602-372-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTSTRAND",
        "first_name": "BETHANY",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86031850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hulsey
• Serena Hulsey
• Amanda Judeika Hulsing
• Melissa R. Hulsing, MD
• Patricia Hultgren, MSN, APRN, FNP-C
• Human Arc Corporation
• Human Services Consultants
• Humana at Home, Inc.
• Humangood Arizona Inc.
• Humanities Resource Builders, Inc.

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.