Sally A Aday, R.D.
Individual provider Active NPI Registered Dietitian · San Carlos, AZ
NPI 1629109178 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1629109178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 809443
- Practice address
- 223 Cibeque Circle Road
San Carlos, AZ 85550-0208 - Phone
- (928) 475-2371
- Fax
- (928) 475-7370
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 809443 | Yes |
Addresses
Primary practice location
223 Cibeque Circle Road
San Carlos, AZ 85550-0208
Mailing address
PO Box 208
San Carlos, AZ 85550-0208
Phone (928) 475-2371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169194 | Medicaid | AZ |
Other providers in San Carlos, AZ
All providers in San Carlos, 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 Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.