Individual provider Active NPI

Grace Norton, RDN, IBCLC

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1881137776
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1049578 Issued in AZ
Practice address
4408 N 38TH St
Phoenix, AZ 85018-4114
Phone
(480) 256-9105
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-61999 AZ
Registered Dietitian 133V00000X 1049578 AZ Primary

Addresses

Primary practice location

4408 N 38TH St
Phoenix, AZ 85018-4114

Mailing address

9393 E Palo Brea BND Apt 1097
Scottsdale, AZ 85255-6510
Phone (480) 416-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1049578AZMDRegistered Dietitian
L-61999AZMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Known LLC Dietitian, Registered CurrentSince May 9, 2021 Accepting new patients
Pure Milk Mom Dietitian, Registered Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1881137776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 E PALO BREA BND APT 1097",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556510",
            "telephone_number": "480-416-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184114",
            "telephone_number": "480-256-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "RDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AZ",
            "license": "L-61999",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "1049578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.