Individual provider Active NPI

Tina Holz, RD

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1457735821
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
961113 Issued in AZ
Practice address
122 E Joan D Arc Ave
Phoenix, AZ 85022-4705
Phone
(602) 535-4864
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 961113 AZ Primary

Addresses

Primary practice location

122 E Joan D Arc Ave
Phoenix, AZ 85022-4705

Mailing address

122 E Joan D Arc Ave
Phoenix, AZ 85022-4705
Phone (602) 535-4864

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
961113AZMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1457735821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E JOAN D ARC AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224705",
            "telephone_number": "602-535-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E JOAN D ARC AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224705",
            "telephone_number": "602-535-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZ",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "961113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.