Individual provider Active NPI

Diane Ellen Byler, R.D.

  • Registered Dietitian
  • Glendale, AZ
National Provider Identifier
1902138191
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
877835
Practice address
17505 N 79TH Ave
Suite 110
Glendale, AZ 85308-8725
Phone
(623) 399-6825
Fax
(623) 505-3474
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 877835 Primary

Addresses

Primary practice location

17505 N 79TH Ave
Suite 110
Glendale, AZ 85308-8725

Mailing address

17505 N 79TH Ave
Suite 110
Glendale, AZ 85308-8725
Phone (623) 399-6825

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Am Nutrition Services Dietitian, Registered CurrentSince May 15, 2013 Accepting new patients

Locations

18001 N 79th Ave
Ste A12
Glendale, AZ 85308
Phone (623) 321-5380

17505 N 79th Ave
Ste 110
Glendale, AZ 85308
Phone (623) 336-2985

Organizations & group practices 1

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": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1902138191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-399-6825",
            "fax_number": "623-505-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLER",
        "first_name": "DIANE",
        "middle_name": "ELLEN",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "877835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.