NPIMap

Organization Active NPI

Eating for Life, LLC

  • Registered Dietitian
  • Apache Junction, AZ
National Provider Identifier
1841748845
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
956114 Issued in AZ
Legal business name
EATING FOR LIFE, LLC
Practice address
99 S Gold Dr
Suite 6
Apache Junction, AZ 85120-5035
Phone
(480) 773-1637
Fax
(602) 362-3171
NPI assigned
Sep 19, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Haley Gann, RDNPI 1235308339
Title
Owner
Phone
(480) 773-1637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 956114 AZ Primary

Addresses

Primary practice location

99 S Gold Dr
Suite 6
Apache Junction, AZ 85120-5035

Mailing address

3820 E Leah CT
Gilbert, AZ 85234-0013
Phone (480) 773-1637

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1841748845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 E LEAH CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340013",
            "telephone_number": "480-773-1637",
            "fax_number": "602-362-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S GOLD DR",
            "address_2": "SUITE 6",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205035",
            "telephone_number": "480-773-1637",
            "fax_number": "602-362-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-773-1637",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "956114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.