Andrea Conner, MPH, RD, CDE, CFT

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

861117 Issued in MO

Practice address

6320 W Union Hills Dr
Suite 1500B
Glendale, AZ 85308-1096

Phone

(623) 561-2673

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Albanil Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Team 83 Partners LLC

  • Metabolic Nutrition Registered Dietitian
  • Glendale, AZ
  • NPI 1750545976

  Nutrition, Metabolic

  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1285746149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR",
            "address_2": "SUITE 1500B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081096",
            "telephone_number": "623-561-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR",
            "address_2": "SUITE 1500B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081096",
            "telephone_number": "623-561-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "ANDREA",
        "credential": "MPH, RD, CDE, CFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MO",
            "license": "861117",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MO",
            "license": "861117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ALBANIL",
            "credential": "MPH, RD, CDE, CFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roger Albert Conant
• Concepts for Change
• Kathleen Ann Conderato, DDS
• Maria Conklin, COTA
• Penny Conklin
• Brian Conner, RN
• Jeffrey Conner, D. C.
• Miley Conner, RD
• Alexa Jo Conners, DPT
• David Connor, M.D.

• Metabolic Nutrition Registered Dietitian in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Metabolic Nutrition Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.