Active NPI
Gidette Michelene Obila, RDN
- Registered Dietitian
- Tempe, AZ
National Provider Identifier
1427675750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86167580
- Practice address
- 1449 W Southern Ave
Tempe, AZ 85282-4446 - Phone
- (480) 967-6360
- Fax
- (480) 967-6184
- NPI assigned
- Jul 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | 86167580 | AZ | Primary |
Addresses
Primary practice location
1449 W Southern Ave
Tempe, AZ 85282-4446
Mailing address
1449 W Southern Ave
Tempe, AZ 85282-4446
Phone (480) 967-6360
Other names 1
- Mrs. Mich Zwinger
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 |
|---|---|---|---|
| 86167580 | AZ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1427675750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 W SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852824446",
"telephone_number": "480-967-6360",
"fax_number": "480-967-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 W SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852824446",
"telephone_number": "480-967-6360",
"fax_number": "480-967-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBILA",
"first_name": "GIDETTE",
"middle_name": "MICHELENE",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86167580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICH",
"last_name": "ZWINGER",
"prefix": "MRS.",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tempe, AZ
- Ammar A Obaidalla
- Karen Oberg
- Pamela Sue Obermeyer, LCSW
- Todd Vincent Obermeyer
- Caren J Oberstein, CAREN OBERSTEIN
- Occupational Diagnostics, Inc.
- Occupational Health Centers of the Southwest PA
- Occupational Health Centers of the Southwest, P.a. (Az)
- Paola Alejandrina Ochoa
- Cailin McCollough Ockert, M.S, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.