Individual provider Active NPI

Tera Naset, MS, RD

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1487076360
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.005890 Issued in IL
Practice address
708 W Brookwood CT
Phoenix, AZ 85045-0617
Phone
(708) 308-9188
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 164.005890 IL Primary

Addresses

Primary practice location

708 W Brookwood CT
Phoenix, AZ 85045-0617

Mailing address

708 W Brookwood CT
Phoenix, AZ 85045-0617
Phone (708) 308-9188

Other practice location 1

2147 W Churchill St
Chicago, IL 60647-5519
Phone (708) 308-9188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201002904 AZ Practitioner - Registered Dietitian Or Nutrition Professional 7113395773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Phoenix, AZ 85045
Phone (708) 308-9188

708 W Brookwood CT
Phoenix, AZ 85045-0617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164.005890ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tera Naset Nutrition, LLC Dietitian, Registered CurrentSince Jul 13, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1487076360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W BROOKWOOD CT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850450617",
            "telephone_number": "708-308-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W BROOKWOOD CT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850450617",
            "telephone_number": "708-308-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2147 W Churchill St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475519",
            "country_code": "US",
            "telephone_number": "708-308-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASET",
        "first_name": "TERA",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005890",
            "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 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.