Individual provider Active NPI

Gidette Michelene Obila, RDN

  • Registered Dietitian
  • Tempe, AZ
National Provider Identifier
1427675750
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86167580 Issued in AZ
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

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
86167580AZMDRegistered 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

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.

Verify at the official NPI Registry.