Nutrition Education Specialists LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION EDUCATION SPECIALISTS LLC

Practice address

9009 S 14TH Way
Phoenix, AZ 85042-7983

Phone

(833) 366-3338

NPI assigned

Sep 17, 2018

Organization subpart

No

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

Authorized official

Name

Kelly R Robers, RD

Title

Ceo

Phone

(833) 366-3338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1548744485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MCDOWELL RD # 107-488",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041549",
            "telephone_number": "883-366-3338",
            "fax_number": "833-450-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 S 14TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427983",
            "telephone_number": "833-366-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION EDUCATION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "ROBERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-366-3338",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.