Active NPI
Daisy Cruz, RD
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1558029330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86117917
- Practice address
- 3421 N 7TH Ave
Phoenix, AZ 85013-3635 - Phone
- (800) 881-5101
- NPI assigned
- Nov 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 86117917 | AZ | |
| Registered Dietitian | 133V00000X | 86117917 | AZ | Primary |
Addresses
Primary practice location
3421 N 7TH Ave
Phoenix, AZ 85013-3635
Mailing address
3421 N 7TH Ave
Phoenix, AZ 85013-3635
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86117917 | AZ | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1558029330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 N 7TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 N 7TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133635",
"telephone_number": "800-881-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DAISY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "AZ",
"license": "86117917",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86117917",
"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 May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.