Organization Active NPI

Nutritional Services of Southern Arizona, Inc.

  • Nutritionist
  • Tucson, AZ
National Provider Identifier
1851644918
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
NUTRITIONAL SERVICES OF SOUTHERN ARIZONA, INC.
Practice address
850 N Kolb Rd
Tucson, AZ 85710-1333
Phone
(520) 954-2551
Fax
(520) 393-3326
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Mary J Picchioni, PH.D.
Title
Owner and President
Phone
(520) 954-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

850 N Kolb Rd
Tucson, AZ 85710-1333

Mailing address

850 N Kolb Rd
Tucson, AZ 85710-1333
Phone (520) 954-2551

National Provider Directory

National Provider Directory

Locations

1200 N El Dorado Pl
Ste I
Tucson, AZ 85715
Phone (520) 954-2551

1200 N El Dorado Pl
Ste I905
Tucson, AZ 85715
Phone (520) 954-2551

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1851644918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101333",
            "telephone_number": "520-954-2551",
            "fax_number": "520-393-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101333",
            "telephone_number": "520-954-2551",
            "fax_number": "520-393-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONAL SERVICES OF SOUTHERN ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "PICCHIONI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "520-954-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.