Kimberly Assaker, M.S., R.D., C.D.E.
Individual provider Active NPI Registered Dietitian · Mesa, AZ
NPI 1275554388 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275554388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 807648
- Practice address
- 6950 E Williams Field Rd
Mesa, AZ 85212-6033 - Phone
- (602) 277-5551
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 807648 | Yes |
Addresses
Primary practice location
6950 E Williams Field Rd
Mesa, AZ 85212-6033
Mailing address
755 N Yucca St
Chandler, AZ 85224-8229
Phone (602) 885-4560
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.