Active NPI
Good Habits Nutrition
- Registered Dietitian
- Mesa, AZ
National Provider Identifier
1881353183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- GOOD HABITS NUTRITION
- Practice address
- 4838 E Baseline Rd Ste 122
Mesa, AZ 85206-4675 - Phone
- (602) 694-4011
- Fax
- (833) 561-1964
- NPI assigned
- Dec 14, 2021
- Last updated
- Dec 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tristine Bogle, RD
- Title
- Owner
- Phone
- (602) 622-0142
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
4838 E Baseline Rd Ste 122
Mesa, AZ 85206-4675
Mailing address
3564 E Mesquite St
Gilbert, AZ 85296-1830
Phone (602) 622-0142
National Provider Directory
National Provider DirectoryLocations
4838 E Baseline Rd
Mesa, AZ 85206
Phone (480) 426-1667
Interoperability endpoints
- https://api.platform.athenahealth.com/23882/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Queen Creek, AZ
- NPI 1063045441
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1881353183",
"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": {
"organization_name": "GOOD HABITS NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A",
"authorized_official_last_name": "BOGLE",
"authorized_official_first_name": "TRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-622-0142",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Virginia Gonzalez
- Yadhira Areli Gonzalez, RBT
- Courtney Starr Gooch
- Todd Arlo Gooch, DPT
- Good for Life Chiropractic PLLC (Good For Life Chiropractic)
- Good Health Medical, PLLC (My Dr Now)
- Good Health Medical, PLLC
- Good Health Medical, PLLC (My Dr Now)
- Good Health Medical, PLLC (My Dr Now)
- Good Health Medical, PLLC (My Dr Now)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.