Tricia Young Rd LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TRICIA YOUNG RD LLC

Practice address

16815 S Desert Foothills Pkwy Ste 134
Phoenix, AZ 85048-8465

Phone

(602) 752-0619

Fax

(602) 883-7226

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Tricia Young, RD

Title

Registered Dietitian/Owner

Phone

(602) 752-0619

Specialties & licenses 1

Addresses

Other names 1

• Young Wellness & Nutrition Doing business as

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1437653185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16815 S DESERT FOOTHILLS PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488401",
            "telephone_number": "602-752-0619",
            "fax_number": "602-883-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16815 S DESERT FOOTHILLS PKWY STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488465",
            "telephone_number": "602-752-0619",
            "fax_number": "602-883-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICIA YOUNG RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "602-752-0619",
        "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": "Young Wellness & Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.