Surgicalrx Nutrition Therapy PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SURGICALRX NUTRITION THERAPY PLLC

Practice address

4539 N 22ND St # 7301
Phoenix, AZ 85016-4639

Phone

(602) 429-9127

NPI assigned

Aug 20, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dylan Bourelle

Title

Operator

Phone

(602) 429-9127

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1548176456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027118",
            "telephone_number": "602-429-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST # 7301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "602-429-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICALRX NUTRITION THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "BOURELLE",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "602-429-9127"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgency Physician Assistant PLLC
• Surgery Center of Scottsdale, LLC (Mountain View Surgery Center of Phoenix)
• Surgical Healthcare LLC
• Surgical Specialty Hospital of Arizona, LLC (The Core Institute Specialty Hospital)
• Surgical Specialty Imaging LLC (Camelback Specialty Imaging)
• Surgicare, LLC
• Surgicenters of America LP
• Ritika Suri, MD
• Kyle Dean Surian
• Tiffany Jeneen Surman, MS CCC-SLP

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.