Radix Nutrition & Wellness LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

RADIX NUTRITION & WELLNESS LLC

Practice address

3738 E Weldon Ave
Phoenix, AZ 85018-5816

Phone

(720) 517-4683

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Debra Brunk, MS, PHD

Title

Owner, Nutritionist

Phone

(720) 517-4683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1912446113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 E WELDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185816",
            "telephone_number": "720-517-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 E WELDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185816",
            "telephone_number": "720-517-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIX NUTRITION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BRUNK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER, NUTRITIONIST",
        "authorized_official_telephone_number": "720-517-4683",
        "authorized_official_credential": "MS, PHD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nutritionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.