Anthony John Zamora

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

11799532-4901 Issued in UT

Practice address

1420 S 500 W
Salt Lake City, UT 84115-5149

Phone

(865) 210-2628

NPI assigned

Jul 14, 2021

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1649842006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S 500 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155149",
            "telephone_number": "865-210-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S 500 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155149",
            "telephone_number": "865-210-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "UT",
            "license": "11799532-4901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86097524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sowar Zakholy
• Garrick Zaleski
• Tahir Zaman
• Jessica Lynn Zamias
• Analicia Zamora-Smith
• Sotero Zamora II
• Annarose Zampano, PA-C
• Edward Y Zamrini, MD
• Axel Rolf Zander, M.D.
• Lucio Zapata Jr., MD

• Sports Dietetics Nutrition Registered Dietitian in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Sports Dietetics Nutrition Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.