Organization Active NPI

My Intentful Life

  • Registered Dietitian
  • Paradise Valley, AZ
National Provider Identifier
1780182204
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MY INTENTFUL LIFE
Practice address
5410 N Scottsdale Rd Ste D100
Paradise Valley, AZ 85253-5937
Phone
(216) 533-4023
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Maya Nahra
Title
Rd
Phone
(216) 533-4023

Specialties & licenses 1

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

Addresses

Primary practice location

5410 N Scottsdale Rd Ste D100
Paradise Valley, AZ 85253-5937

Mailing address

7000 N 16TH St Ste 120-427
Phoenix, AZ 85020-5512

National Provider Directory

National Provider Directory

Locations

7000 N 16th St
Ste 120427
Phoenix, AZ 85020

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1780182204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N 16TH ST STE 120-427",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD STE D100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535937",
            "telephone_number": "216-533-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY INTENTFUL LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "NAHRA",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "216-533-4023"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.