Nutritional Glo

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITIONAL GLO

Practice address

16045 W Becker LN
Surprise, AZ 85379-4618

Phone

(623) 512-0067

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Gloria MH Gonzalez, RDNNPI 1922725910

Title

Owner

Phone

(623) 512-0067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria MH Gonzalez, RDN

  • Registered Dietitian
  • Surprise, AZ
  • NPI 1922725910

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1437876430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 W BELL RD STE 101-426",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 W BECKER LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794618",
            "telephone_number": "623-512-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONAL GLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-512-0067",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dylan Nowling, DPT
• Ariana Nunez, DPT
• Benjamin Thomas Nyland, PTA
• Alexis O'Brien, PT, DPT
• Shannon O'Brien, PA
• Caitlin O'Donnell
• Christian O'Dowd

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.