Active NPI
Heather Michelle Gauthier, R.D.
- Registered Dietitian
- Gilbert, AZ
National Provider Identifier
1528315900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86019917
- Practice address
- 3420 S Mercy Rd Ste 312
Gilbert, AZ 85297-0425 - Phone
- (602) 770-7611
- NPI assigned
- Aug 5, 2012
- Last updated
- Aug 5, 2012
- 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 | 86019917 | AZ | Primary |
Addresses
Primary practice location
3420 S Mercy Rd Ste 312
Gilbert, AZ 85297-0425
Mailing address
1111 W Summit PL Unit 14
Chandler, AZ 85224-1303
Phone (602) 316-8452
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86019917 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andersons Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603
4700 S Mill Ave
Ste B7
Tempe, AZ 85282
600 E Baseline Rd
Ste B-2
Tempe, AZ 85283
Phone (480) 389-3265
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344124800000",
"number": "1528315900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W SUMMIT PL UNIT 14",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852241303",
"telephone_number": "602-316-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 S MERCY RD STE 312",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852970425",
"telephone_number": "602-770-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTHIER",
"first_name": "HEATHER",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-05",
"last_updated": "2012-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86019917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.