Active NPI
Nourished Nutrition Counseling
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1639684483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86066058
- Legal business name
- NOURISHED NUTRITION COUNSELING
- Practice address
- 7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266 - Phone
- (480) 688-1779
- NPI assigned
- Dec 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Demi Keezer, RDN
- Title
- Registered Dietitian Nutritionist
- Phone
- (480) 688-1779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86066058 | AZ | Primary |
Addresses
Primary practice location
7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266
Mailing address
7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512691200000",
"number": "1639684483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 N 16TH ST STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 N 16TH ST STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205266",
"telephone_number": "480-688-1779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOURISHED NUTRITION COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-08",
"status": "A",
"authorized_official_last_name": "KEEZER",
"authorized_official_first_name": "DEMI",
"authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
"authorized_official_telephone_number": "480-688-1779",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86066058",
"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 Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.