Brogan Taylor-Hickie, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1441 N 12TH St
Phoenix, AZ 85006-2837

Phone

(602) 521-5180

Fax

(602) 521-5179

NPI assigned

May 13, 2021

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

Other names 1

• Brogan Taylor Former name

Medicare fee-for-service enrollment

Enrolled in AZ, CO, NJ, TX, AR5 enrollments

Enrollment records 5

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.85 of 100Reported as group

Quality

69.75

Promoting interoperability

98

Improvement activities

40

Cost

68.18

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Surely Health, Inc.

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Season Clinical Care NJ PC

  • Registered Dietitian
  • Parsippany, NJ
  • NPI 1700693348

  Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care P.a.

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  AR, AZ, CO, Dietitian, Registered

  Medicare reassignment NPD
• H-E-B, LP

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1073622411
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1255905378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E HILTON AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063420",
            "telephone_number": "480-241-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837",
            "telephone_number": "602-521-5180",
            "fax_number": "602-521-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-HICKIE",
        "first_name": "BROGAN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROGAN",
            "last_name": "TAYLOR",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James J Taxter, DC
• Ali Tayebi Meybodi, MD
• Taylor Aasand Nutrition
• Donna Lavirney Taylor Mejias, FNP
• Raven V Taylor-Aduwak
• Amanda Taylor, PHARMD
• Amber Taylor, LAC
• Amber Taylor
• Anna Maezy Taylor
• Ashlea M Taylor, LMFT

• 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 Sep 29, 2025; 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.