Organization Active NPI

Nourished Nutrition Counseling

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1639684483
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86066058 Issued in AZ
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

Updated by the provider on Dec 8, 2017

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.