Deidra C Dexter-Hine, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

970698 Issued in AZ

Practice address

5131 E Southern Ave
Mesa, AZ 85206-2799

Phone

(480) 833-5437

Fax

(480) 833-9349

NPI assigned

Aug 2, 2013

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

Other names 1

• Deidra C Dexter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Phoenix Children'S Hospital Hope

  • Pharmacy
  • Phoenix, AZ
  • NPI 1386749836
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1932531753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD BLDG 2108",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-512-8029",
            "fax_number": "602-512-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062799",
            "telephone_number": "480-833-5437",
            "fax_number": "480-833-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER-HINE",
        "first_name": "DEIDRA",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "970698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRA",
            "last_name": "DEXTER",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devereux Foundation
• Devereux Foundation
• Devine Design Medical Associates LLC
• Naomi Devine, NP
• Deyatres Dewalt, PA
• Renee Christine Deyden
• William E Deyden, MD
• Deborah Deyoung, LPC
• Nicholas Jon Deyoung, PA-C
• DFDV Health and Wellness LLC

• Registered Dietitian in Mesa, AZ
• Providers in Mesa, 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 2, 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.