Individual provider Active NPI

Cameron Scholtz, PHD, RD

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1366083883
Registry record updated Oct 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86079425 Issued in AZ
Practice address
2138 E Lawrence Rd
Phoenix, AZ 85016-1118
Phone
(503) 515-3839
NPI assigned
Oct 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2019

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 86079425 AZ Primary

Addresses

Primary practice location

2138 E Lawrence Rd
Phoenix, AZ 85016-1118

Mailing address

2138 E Lawrence Rd
Phoenix, AZ 85016-1118
Phone (503) 515-3839

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
86079425AZMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570320000000",
    "number": "1366083883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 E LAWRENCE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161118",
            "telephone_number": "503-515-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 E LAWRENCE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161118",
            "telephone_number": "503-515-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTZ",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "PHD, RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86079425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.