Debra Jayne Loder, R.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

520 Rose LN
Wickenburg, AZ 85390-1447

Phone

(928) 684-5420

NPI assigned

Oct 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1932503935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901447",
            "telephone_number": "928-684-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901447",
            "telephone_number": "928-684-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9520 W Palm Ln",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850374403",
            "country_code": "US",
            "telephone_number": "877-809-5092 x1528",
            "fax_number": "623-546-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODER",
        "first_name": "DEBRA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "R.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Christopher Thomas Larson
• Courtney Leboeuf, PMHNP-BC
• Tara Renae Littell, PT, DPT
• Kenneth Wayne Littlefield, PSY.D.
• Lottis & Associates, P.C.
• Karen J. Lottis, PHD, FNP
• Patrick Dean Lynch, M.D.
• Julie A Macias, MA
• Magellan Health Services of Arizona, Inc.

• Registered Dietitian in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.