Autumn E Thomas, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86175394 Issued in TX

Practice address

20325 N 51St Ave Ste 126
Glendale, AZ 85308-5677

Phone

(602) 341-5248

Fax

(602) 702-5219

NPI assigned

Apr 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Autumn E Holloway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Texas Medical Branch at Galveston, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1588419717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 N YORKCHASE LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085677",
            "telephone_number": "602-341-5248",
            "fax_number": "602-702-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AUTUMN",
        "middle_name": "E",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86175394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "HOLLOWAY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Therapy With Purpose, LLC (Therapy with Purpose)
• Therapy With Purpose, LLC (Therapy with Purpose)
• Third Millennium Dental Group (smile fitness dental center)
• Thomas C Lenzmeier MD, PC (Lenzmeier Family Medicine)
• Brandy Elizabeth Thomas-Artis, FNP-C
• Christy Lin Thomas, RN
• Jerry David Thomas, RPH
• Matthew Scott Thomas, M.D.
• Paige Nord Thomas, NP-C
• Sarah Yuki Thomas, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.