Organization Active NPI

Countertop Productions LLC

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1366178485
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COUNTERTOP PRODUCTIONS LLC
Practice address
1130 E Missouri Ave Ste 700
Phoenix, AZ 85014-2717
Phone
(602) 999-5314
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Elizabeth Brinkman, RD
Title
Owner
Phone
(602) 999-5314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1130 E Missouri Ave Ste 700
Phoenix, AZ 85014-2717

Mailing address

1130 E Missouri Ave Ste 700
Phoenix, AZ 85014-2717
Phone (602) 999-5314

Other practice location 1

1130 E Missouri Ave Ste 700
Phoenix, AZ 85014-2717
Phone (602) 999-5314

Other names 1

  • Liz Brinkman Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

1130 E Missouri Ave
Ste 700
Phoenix, AZ 85014
Phone (602) 461-7493

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1366178485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142717",
            "telephone_number": "602-999-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142717",
            "telephone_number": "602-999-5314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 E Missouri Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142717",
            "country_code": "US",
            "telephone_number": "602-999-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTERTOP PRODUCTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-999-5314",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liz Brinkman Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2022; 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.