Mays Al Dulaimi, RDN, MS
Individual provider Active NPI Registered Dietitian · Goodyear, AZ
NPI 1992524433 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1992524433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86370834 (AZ)
- Practice address
- 14200 W Celebrate Life Way
Goodyear, AZ 85338-3007 - Phone
- (602) 883-1227
- Fax
- (623) 207-3921
- NPI assigned
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241125001887 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 0749715902 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86370834 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Current |
Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86370834 | AZ | Yes |
Addresses
Primary practice location
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Mailing address
12269 W Washington St
Avondale, AZ 85323-8086
Phone (602) 491-6823
Other providers in Goodyear, AZ
- Ihsaan Ahmad
- Beatriz Adriana Aiton
- Joyce Aiyed Botros
- Philip Rhanis Ajueshi
- Akdhc, LLC
- Mustafa Al-Ogaili
- Alam, LLC
- Muhammad A Alam
- Marianne Antony Alapatt
- Rabiha Alathman
All providers in Goodyear, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.