Active NPI
Patina Muhammad
- Nutritionist
- Phoenix, AZ
National Provider Identifier
1992351217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 13811 N 35TH Dr Ste a
Phoenix, AZ 85053-5524 - Phone
- (602) 276-4934
- Fax
- (602) 323-9747
- NPI assigned
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
13811 N 35TH Dr Ste a
Phoenix, AZ 85053-5524
Mailing address
13811 N 35TH Dr Ste a
Phoenix, AZ 85053-5524
Phone (602) 276-4934
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1992351217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13811 N 35TH DR STE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850535524",
"telephone_number": "602-276-4934",
"fax_number": "602-323-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13811 N 35TH DR STE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850535524",
"telephone_number": "602-276-4934",
"fax_number": "602-323-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUHAMMAD",
"first_name": "PATINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.