Individual provider Active NPI

Joanna Elaine Townsend, RD, CDE

  • Registered Dietitian
  • Chandler, AZ
National Provider Identifier
1669692000
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
916154 Issued in IL
Practice address
2875 W Ray Rd
Suite 16
Chandler, AZ 85224-3524
Phone
(480) 855-6075
Fax
(888) 237-7954
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 916154 IL Primary

Addresses

Primary practice location

2875 W Ray Rd
Suite 16
Chandler, AZ 85224-3524

Mailing address

2875 W Ray Rd
Suite 16
Chandler, AZ 85224-3524
Phone (480) 855-6075

Other identifiers 2

IdentifierTypeStateIssuer
916154OtherTXCOMMISSION ON DIETETIC REGISTRATION
2052-0444OtherTXNATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
916154ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes America Az LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1669692000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD",
            "address_2": "SUITE 16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243524",
            "telephone_number": "480-855-6075",
            "fax_number": "888-237-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD",
            "address_2": "SUITE 16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243524",
            "telephone_number": "480-855-6075",
            "fax_number": "888-237-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "JOANNA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "916154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "916154",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS",
            "identifier": "2052-0444",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.