Nutrient Dense Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRIENT DENSE NUTRITION LLC

Practice address

4036 S 183Rd LN
Goodyear, AZ 85338-7817

Phone

(225) 828-8393

NPI assigned

Dec 14, 2023

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Krista Wale, RDNNPI 1669254876

Title

Owner

Phone

(225) 828-8393

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Krista Wale, RD, LDN

  • Registered Dietitian
  • Baton Rouge, LA
  • NPI 1669254876

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1881462224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 S 183RD LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387817",
            "telephone_number": "225-828-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 S 183RD LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387817",
            "telephone_number": "225-828-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIENT DENSE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "WALE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-828-8393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Goodyear, AZ
• Providers in Goodyear, 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 14, 2023; 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.