Lupe Leticia Andrews, RD, CHWC
Individual provider Active NPI Registered Dietitian · Scottsdale, AZ
NPI 1811550833 · NPPES record last updated Apr 16, 2019
Key facts
- NPI
- 1811550833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 655909 (AZ)
- Practice address
- 12430 N 79TH St
Scottsdale, AZ 85260-4821 - Phone
- (623) 217-9191
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655909 | AZ | MD | Registered Dietitian |
| 655909 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 655909 | AZ | Yes |
| Registered Dietitian | 133V00000X | 655909 | CA |
Addresses
Primary practice location
12430 N 79TH St
Scottsdale, AZ 85260-4821
Mailing address
12430 N 79TH St
Scottsdale, AZ 85260-4821
Phone (623) 217-9191
Other practice location 1
12430 N 79th St
Scottsdale, AZ 85260-4821
Other providers in Scottsdale, AZ
- Andrew M. Wolin, M.D., P.C.
- Andrew T. Haber, M.D., L.L.C.
- Jacquelyn Andrews
- Kayla Kierstyn Andrews
- Kylee Andrews
- Meredith Ann Andrews
- Ralph Edward Andrews
- Anna Jeanette Andrus
- Anesthesia Associates PLLC
- Anesthesia Experts of Arizona, LLC
All providers in Scottsdale, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.