Tristine Bogle, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

4838 E Baseline Rd Ste 122
Mesa, AZ 85206-4675

Phone

(602) 694-4011

Fax

(833) 561-1964

NPI assigned

Jun 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tristine.bogle.1@23882.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23882/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kacey Frey, RDN

  • Registered Dietitian
  • Chandler, AZ
  • NPI 1669052205
  Medicare reassignment
• Marisa Martineau Stephens, RDN

  • Registered Dietitian
  • Queen Creek, AZ
  • NPI 1063045441
  Medicare reassignment

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.

• Good Habits Nutrition

  • Registered Dietitian
  • Mesa, AZ
  • NPI 1881353183

  Dietitian, Registered

  NPD Authorized official
• Andersons Nutrition

  • Registered Dietitian
  • Downingtown, PA
  • NPI 1508180829

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1881045375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 E MESQUITE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961830",
            "telephone_number": "602-622-0142",
            "fax_number": "833-561-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD STE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064675",
            "telephone_number": "602-694-4011",
            "fax_number": "833-561-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "TRISTINE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-26",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "913659",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E. Boesch, M.D.
• Chad Boesl, CRNA
• Kristine Elayne Boetel, COTAL
• James A Bogash, D.C.
• Anabel Marie Bogdan, RN
• Colin Bohannan, MD
• Jamie Bohannon, APRN-RX
• Aileen B Bohn
• Jordan Bohrer, CRNA
• Darieika Boizan Calzado

• Registered Dietitian in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.