Active NPI
Empower Health by Nutrition PLLC
- Metabolic Nutrition Registered Dietitian
- Flagstaff, AZ
National Provider Identifier
1184167074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gayle Baingo, RDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Registered Dietitian
- Flagstaff, AZ
- NPI 1033301874
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.