Organization Active NPI

Empower Health by Nutrition PLLC

  • Metabolic Nutrition Registered Dietitian
  • Flagstaff, AZ
National Provider Identifier
1184167074
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
Legal business name
EMPOWER HEALTH BY NUTRITION PLLC
Practice address
1210 W Davis Way
Flagstaff, AZ 86001-1201
Phone
(928) 380-1610
Fax
(928) 774-8606
NPI assigned
Nov 23, 2016
Last updated
Nov 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Ms. Gayle Baingo, RDNNPI 1033301874
Title
Registered Dietitian Nutritionist
Phone
(928) 380-1610

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)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X NU Primary

Addresses

Primary practice location

1210 W Davis Way
Flagstaff, AZ 86001-1201

Mailing address

1210 W Davis Way
Flagstaff, AZ 86001-1201
Phone (928) 380-1610

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1184167074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W DAVIS WAY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011201",
            "telephone_number": "928-380-1610",
            "fax_number": "928-774-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W DAVIS WAY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011201",
            "telephone_number": "928-380-1610",
            "fax_number": "928-774-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER HEALTH BY NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "BAINGO",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "928-380-1610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.