Adl Clinical Nutrition, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ADL CLINICAL NUTRITION, PLLC

Practice address

4929 W Boston St
Chandler, AZ 85226-4879

Phone

(480) 773-0360

NPI assigned

May 30, 2025

Last updated

May 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anateresa De Leon, MS, RDNPI 1245996636

Title

Owner

Phone

(480) 773-0360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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.

• Anateresa De Leon, RD

  • Registered Dietitian
  • Chandler, AZ
  • NPI 1245996636

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1740173582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 W BOSTON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264879",
            "telephone_number": "480-773-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 W BOSTON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264879",
            "telephone_number": "480-773-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADL CLINICAL NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "ANATERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-773-0360",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.

Verify at the official NPI Registry.