Active NPI
Alysia Jimenez, RDN
- Registered Dietitian
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86168201
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86168201 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare Inc | Current | Accepting new patients | |
| Adelante Healthcare, Inc. | Current | Accepting new patients | |
| Adelante Healthcare, Inc | Current | Accepting new patients | |
| Denova Collaborative Health, LLC | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Denova Collaborative Health, LLC | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1609300854
-
- Federally Qualified Health Center (FQHC)
- Surprise, AZ
- NPI 1003293465
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1215734124
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1740079060
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1710283593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
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.