NPIMap

Organization Active NPI

Team 83 Partners LLC

  • Metabolic Nutrition Registered Dietitian
  • Glendale, AZ
National Provider Identifier
1750545976
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
861117 Issued in AZ
Legal business name
TEAM 83 PARTNERS LLC
Practice address
6320 W Union Hills Dr.
Suite 1500 B
Glendale, AZ 85308
Phone
(623) 561-2673
Fax
(623) 825-6315
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Andrea Sue Conner, MPH, RD, CDE, CFTNPI 1285746149
Title
Vice President of Nutrition/Wellnes
Phone
(623) 561-2673

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
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X 861117 AZ Primary

Addresses

Primary practice location

6320 W Union Hills Dr.
Suite 1500 B
Glendale, AZ 85308

Mailing address

6320 W Union Hills Dr
Suite 1500 B
Glendale, AZ 85308-1096
Phone (623) 561-2673

Other names 1

  • Core, Life in Balance Doing business as

National Provider Directory

National Provider Directory

Locations

6320 W Union Hills Dr
Ste 1500B
Glendale, AZ 85308
Phone (623) 561-2673

Practitioners & affiliated clinicians

Practitioners 2

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1750545976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR",
            "address_2": "SUITE 1500 B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081096",
            "telephone_number": "623-561-2673",
            "fax_number": "623-825-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR.",
            "address_2": "SUITE 1500 B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-561-2673",
            "fax_number": "623-825-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM 83 PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF NUTRITION/WELLNES",
        "authorized_official_telephone_number": "623-561-2673",
        "authorized_official_credential": "MPH, RD, CDE, CFT"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "AZ",
            "license": "861117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core, Life in Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.