Active NPI
Christine E Sports, RD
- Registered Dietitian
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 990773
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-0970
- Fax
- (602) 933-4253
- NPI assigned
- Jul 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 990773 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-1813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540320 | Medicaid | AZ |
Other names 1
- Christine E Wheeler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 990773 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients |
Locations
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Pulmonary Disease Physician
- Phoenix, AZ
- NPI 1700119815
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1497069645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-0970",
"fax_number": "602-933-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORTS",
"first_name": "CHRISTINE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "990773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "540320",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "WHEELER",
"middle_name": "E",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.