Active NPI
Rachel Leigh Brogan, M.S., R.D., CEDRD
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1376782086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 915609
- Practice address
- 1825 E Northern Ave Ste 200
Phoenix, AZ 85020-3972 - Phone
- (952) 956-4654
- NPI assigned
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 915609 | AZ | Primary |
Addresses
Primary practice location
1825 E Northern Ave Ste 200
Phoenix, AZ 85020-3972
Mailing address
2906 E Cullumber St
Gilbert, AZ 85234-6348
Phone (952) 956-4654
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 915609 | AZ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1376782086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 E CULLUMBER ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852346348",
"telephone_number": "952-956-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E NORTHERN AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850203972",
"telephone_number": "952-956-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "RACHEL",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "M.S., R.D., CEDRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "915609",
"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 Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.