Back on Track Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BACK ON TRACK NUTRITION LLC

Practice address

6625 S Rural Rd Ste 111
Tempe, AZ 85283-3717

Phone

(480) 253-9547

NPI assigned

Aug 29, 2020

Last updated

Nov 29, 2022By 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

Mrs. Katy Christinn Stemple, MDA, RDNNPI 1518401884

Title

Owner, Registered Dietitian

Phone

(928) 368-3645

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: info@backontracknutrition.com

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.

• Katy Christinn Stemple, MDA, RDN

  • Registered Dietitian
  • Tempe, AZ
  • NPI 1518401884
  Authorized official Same address or phone

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1780297614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15018 N SANTIAGO PL",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852681625",
            "telephone_number": "928-368-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "480-253-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "STEMPLE",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "CHRISTINN",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "928-368-3645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MDA, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@backontracknutrition.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "6625 S Rural Rd Ste 111",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852833717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leon T Babu, OD
• Vasvi Amin Babu, OD
• Andrew Bacchus
• Aaron Bachler
• Harrison J Bachrach, MD
• Catherine K Bacon, M.A.
• Seema Bacon, ATR, LPC
• Makiya Sado Badada
• Zabeba Sado Badada, LCSW
• Prashanthi Baddam, D.M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.