Active NPI
Tera Naset Nutrition, LLC
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1720712805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- TERA NASET NUTRITION, LLC
- Practice address
- 708 W Brookwood CT
Phoenix, AZ 85045-0617 - Phone
- (708) 308-9188
- NPI assigned
- Jul 13, 2022
- Last updated
- Jul 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tera Naset, RD
- Title
- Owner
- Phone
- (708) 308-9188
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
708 W Brookwood CT
Phoenix, AZ 85045-0617
Mailing address
708 W Brookwood CT
Phoenix, AZ 85045-0617
Phone (708) 308-9188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657670400000",
"number": "1720712805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 W BROOKWOOD CT",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850450617",
"telephone_number": "708-308-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 W BROOKWOOD CT",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850450617",
"telephone_number": "708-308-9188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERA NASET NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A",
"authorized_official_last_name": "NASET",
"authorized_official_first_name": "TERA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-308-9188",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.