Active NPI
Tera Naset, MS, RD
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1487076360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005890 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tera Naset Nutrition, LLC | Dietitian, Registered | Current | 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.