Individual provider Active NPI

Alysia Jimenez, RDN

  • Registered Dietitian
  • Peoria, AZ
National Provider Identifier
1871268300
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86168201 Issued in AZ
Practice address
13128 N 94TH Dr Ste 202
Peoria, AZ 85381-4253
Phone
(602) 230-7373
Fax
(602) 536-0518
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86168201 AZ Primary

Addresses

Primary practice location

13128 N 94TH Dr Ste 202
Peoria, AZ 85381-4253

Mailing address

3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Phone (602) 230-7373

Other practice location 1

9192 W Cactus Rd Ste C
Peoria, AZ 85381-5132
Phone (602) 628-0382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220614000835 AZ Practitioner - Registered Dietitian Or Nutrition Professional 5698154128 Reassigns benefits to 2 organizations
I20260226002070 TX Practitioner - Registered Dietitian Or Nutrition Professional 5698154128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

483 W Seed Farm Rd
Sacaton, AZ 85147-5000

PO Box
Sacaton, AZ 85147

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86168201AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare Inc CurrentSince May 7, 2022 Accepting new patients
Adelante Healthcare, Inc. Current Accepting new patients
Adelante Healthcare, Inc CurrentSince May 7, 2022 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Apr 3, 2026 Accepting new patients
Gila River Health Care CurrentSince Jan 26, 2026 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation CurrentSince Jan 26, 2026 Accepting new patients
Denova Collaborative Health, LLC PastSince Apr 3, 2026 Accepting new patients

Locations

13471 W Cornerstone Blvd
Goodyear, AZ 85395

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

13128 N 94th Dr
Ste 202
Peoria, AZ 85381

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1871268300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122635",
            "telephone_number": "602-230-7373",
            "fax_number": "602-682-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 N 94TH DR STE 202",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814253",
            "telephone_number": "602-230-7373",
            "fax_number": "602-536-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9192 W Cactus Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815132",
            "country_code": "US",
            "telephone_number": "602-628-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ALYSIA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86168201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.