Individual provider Active NPI

Srijana Neupane, RD

  • Registered Dietitian
  • Chandler, AZ
National Provider Identifier
1396082772
Registry record updated Jan 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1064796 Issued in AZ
Practice address
4213 S Buckskin Way
Chandler, AZ 85249-6002
Phone
(480) 205-6884
NPI assigned
Jan 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2013

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 1064796 AZ Primary

Addresses

Primary practice location

4213 S Buckskin Way
Chandler, AZ 85249-6002

Mailing address

4213 S Buckskin Way
Chandler, AZ 85249-6002
Phone (480) 205-6884

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

LicenseStateTypeSpecialty
1064796AZMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357430400000",
    "number": "1396082772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 S BUCKSKIN WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496002",
            "telephone_number": "480-205-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 S BUCKSKIN WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496002",
            "telephone_number": "480-205-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUPANE",
        "first_name": "SRIJANA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "1064796",
            "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 Jan 6, 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.

Verify at the official NPI Registry.