Active NPI
Emmie Mae Olivas, RD/RDN, CDCES
- Registered Dietitian
- Chandler, AZ
National Provider Identifier
1346849023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 85-007685
- Practice address
- 1126 N Melody Cir
Chandler, AZ 85225-1695 - Phone
- (512) 820-8702
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 85-007685 | AZ | Primary |
Addresses
Primary practice location
1126 N Melody Cir
Chandler, AZ 85225-1695
Mailing address
1126 N Melody Cir
Chandler, AZ 85225-1695
Phone (512) 820-8702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-007685 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1346849023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 N MELODY CIR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251695",
"telephone_number": "512-820-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N MELODY CIR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251695",
"telephone_number": "512-820-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAS",
"first_name": "EMMIE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "RD/RDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "85-007685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.