Real Food Lifestyle, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

REAL FOOD LIFESTYLE, LLC

Practice address

7400 N Oracle Rd
Suite 162-S
Tucson, AZ 85704-6331

Phone

(520) 289-6055

Fax

(520) 818-2939

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Deannea Merritt Tanner, RDNPI 1952795528

Title

Registered Dietitian

Phone

(520) 289-6055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deannea Tanner, RD

  • Registered Dietitian
  • Nampa, ID
  • NPI 1952795528

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1588053029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39131 S RODEO BUCKLE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857395933",
            "telephone_number": "520-289-6055",
            "fax_number": "520-818-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N ORACLE RD",
            "address_2": "SUITE 162-S",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046331",
            "telephone_number": "520-289-6055",
            "fax_number": "520-818-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL FOOD LIFESTYLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "DEANNEA",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "520-289-6055",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

• Reaching Beyond LLC
• Tyler Charles Reade, PHARMD
• Kenneth John Reader, LMT
• Andrew Max Ready, DO
• James Robert Ready, ATC
• Brita A. Reams, R.N.
• Richard B Reap, LCSW
• Stephanie S Reap, LCSW
• Katherine Susan Rearden, LCSW, ACSW, BCD
• Cynthia E Reardon, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.