Active NPI
Nancy E Varsano, CDE, RD
- Registered Dietitian
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 721220
- Practice address
- 1920 E Cambridge Ave Ste 301
Phoenix, AZ 85006-1464 - Phone
- (602) 933-0935
- Fax
- (602) 933-2471
- NPI assigned
- Jun 21, 2009
- Last updated
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | ||
| Registered Dietitian | 133V00000X | 721220 | AZ | Primary |
Addresses
Primary practice location
1920 E Cambridge Ave Ste 301
Phoenix, AZ 85006-1464
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-7761
Phone (602) 933-1815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 450480 | Medicaid | AZ |
Other names 1
- Nancy Ellen Deluca
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721220 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Phoenix Children's Hospital | Current | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965
1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Komatke Health Center
- Critical Access Hospital
- Laveen, AZ
- NPI 1376538231
TX
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
dba Thwajik Ke Outpatient Behavioral Health Services
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
dba Hu Hu Kam Memorial Hospital
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1780811414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167761",
"telephone_number": "602-933-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E CAMBRIDGE AVE STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061464",
"telephone_number": "602-933-0935",
"fax_number": "602-933-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARSANO",
"first_name": "NANCY",
"middle_name": "E",
"credential": "CDE, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-21",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "721220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "450480",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "DELUCA",
"middle_name": "ELLEN",
"credential": "CDE, RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.