Organization Active NPI

Eat Freely Nutrition Arizona, Inc

  • Registered Dietitian
  • Gilbert, AZ
National Provider Identifier
1679399745
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EAT FREELY NUTRITION ARIZONA, INC
Doing business as
Saravita Nutrition
Practice address
2930 E Dennisport Ave
Gilbert, AZ 85295-1460
Phone
(562) 298-0042
Fax
(562) 490-8582
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Dariella Gonitzke, MS, RDNPI 1508016593
Title
Ceo
Phone
(562) 298-0042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2930 E Dennisport Ave
Gilbert, AZ 85295-1460

Mailing address

2930 E Dennisport Ave
Gilbert, AZ 85295-1460
Phone (562) 298-0042

Other names 1

  • Saravita Nutrition Doing business as

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": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1679399745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 E DENNISPORT AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951460",
            "telephone_number": "562-298-0042",
            "fax_number": "562-490-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 E DENNISPORT AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951460",
            "telephone_number": "562-298-0042",
            "fax_number": "562-490-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT FREELY NUTRITION ARIZONA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "GONITZKE",
        "authorized_official_first_name": "DARIELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-298-0042",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saravita Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.