Individual provider Active NPI

Mya Tuesday Perkins, RD

  • Registered Dietitian
  • Gilbert, AZ
National Provider Identifier
1942772728
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1920 N Higley Rd Ste 306
Gilbert, AZ 85234-1625
Phone
(480) 543-2606
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Nutrition Education Nutritionist 133NN1002X
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1920 N Higley Rd Ste 306
Gilbert, AZ 85234-1625

Mailing address

410 E 9TH Ave Apt 10
Mesa, AZ 85204-4141
Phone (602) 733-7509

Other names 1

  • Mya Tuesday Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320003377 AZ Practitioner - Registered Dietitian Or Nutrition Professional 3971843327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 1, 2019 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 1, 2019 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1920 N Higley Rd
Ste 306
Gilbert, AZ 85234
Phone (480) 543-2606

1920 N Higley Rd
Ste 308
Gilbert, AZ 85234
Phone (480) 543-6600

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

9305 W Thomas Rd
Ste 360
Phoenix, AZ 85037
Phone (623) 327-8200

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1942772728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E 9TH AVE APT 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044141",
            "telephone_number": "602-733-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD STE 306",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341625",
            "telephone_number": "480-543-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MYA",
        "middle_name": "TUESDAY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYA",
            "last_name": "JOHNSON",
            "middle_name": "TUESDAY",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.