Active NPI
My Intentful Life
- Registered Dietitian
- Paradise Valley, AZ
National Provider Identifier
1780182204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.