Individual provider Active NPI

Aimee Halvorsen, RN CDE

  • Nutrition Education Nutritionist
  • Surprise, AZ
National Provider Identifier
1710177308
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
2071-0117 Issued in AZ
Practice address
16560 N Dysart Rd
Surprise, AZ 85374-3717
Phone
(623) 546-2294
Fax
(623) 544-3210
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 2071-0117 AZ Primary

Addresses

Primary practice location

16560 N Dysart Rd
Surprise, AZ 85374-3717

Mailing address

12550 W Thunderbird Rd
Suite 102
El Mirage, AZ 85335-4918
Phone (623) 556-8860

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2071-0117AZMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc Past Accepting new patients
Hospitalists of Arizona, LLC Past Accepting new patients

Organizations & group practices 2

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1710177308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 W THUNDERBIRD RD",
            "address_2": "SUITE 102",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853354918",
            "telephone_number": "623-556-8860",
            "fax_number": "623-876-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16560 N DYSART RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743717",
            "telephone_number": "623-546-2294",
            "fax_number": "623-544-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSEN",
        "first_name": "AIMEE",
        "credential": "RN CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AZ",
            "license": "2071-0117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.