Individual provider Active NPI

Brittany Gill, RDN

  • Registered Dietitian
  • Mesa, AZ
National Provider Identifier
1194409474
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86061568 Issued in AZ
Practice address
6124 E Brown Rd Ste 102
Mesa, AZ 85205-4959
Phone
(602) 653-0237
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 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 86061568 AZ Primary

Addresses

Primary practice location

6124 E Brown Rd Ste 102
Mesa, AZ 85205-4959

Mailing address

6124 E Brown Rd Ste 102
Mesa, AZ 85205-4959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230622003070 AZ Practitioner - Registered Dietitian Or Nutrition Professional 9537527585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Dietitians LLCGroup PAC ID 5799023859, 9 clinicians

Practice addresses (Care Compare)

6124 E Brown Rd
Suite 102
Mesa, AZ 85205-4959
Phone (480) 809-6513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86061568AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Az Dietitians LLC Dietitian, Registered CurrentSince Jun 17, 2023 Accepting new patients
Red Mountain Dietitian Services LLC Dietitian, Registered CurrentSince Oct 1, 2024 Accepting new patients
Alexander Solutions LLC Dietitian, Registered CurrentSince Oct 1, 2024 Accepting new patients

Locations

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

6124 E Brown Rd
Ste 102
Mesa, AZ 85205
Phone (480) 497-3285

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

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

1050 E Southern Ave
Ste F3
Tempe, AZ 85282
Phone (480) 266-4122

Organizations & group practices 3

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1194409474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054959",
            "telephone_number": "602-653-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BRITTANY",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86061568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.