Kyra Artise, RD
Individual provider Active NPI Registered Dietitian · Phoenix, AZ
NPI 1609304641 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1609304641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 6601 W Thomas Rd
Phoenix, AZ 85033-5700 - Phone
- (602) 743-4476
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Park Health Center
Practice addresses (Care Compare)
140 N Litchfield Rd
Suite 200And106
Goodyear, AZ 85338-1277
Phone (602) 243-7277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170711002429 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 3577832385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Park Health Center | Current |
Accepting new patients | |
| Mountain Park Health Center | Current |
Accepting new patients |
Locations
635 E Baseline Rd
Phoenix, AZ 85042
3830 E Van Buren St
Phoenix, AZ 85008
Phone (602) 806-6655
6601 W Thomas Rd
Phoenix, AZ 85033
3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492
1840 E Broadway Rd
Tempe, AZ 85282
Phone (602) 323-3444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Mailing address
1808 E Bethany Home Rd
Phoenix, AZ 85016-2622
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All providers in Phoenix, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.