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MEDICAL NUTRITION SERVICES LLC NPI 1609219872


NPI Information

NPI: 1609219872
Provider Name: MEDICAL NUTRITION SERVICES, LLC
Classification: Nutritionist - 133N00000X
Entity Type: Organization
Address:
1198 W KELLY LN
TEMPE, AZ
ZIP 85284
Phone: (480) 204-6006
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MEDICAL NUTRITION SERVICES, LLC is a nutritionist in Tempe, AZ. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. MEDICAL NUTRITION SERVICES, LLC NPI is 1609219872. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1198 W KELLY LN
TEMPE, AZ
ZIP 85284-772
Phone: (480) 204-6006
Fax: (480) 436-6006

The provider's authorized official is Krista M Simonetti .
The authorized official title is Owner and has the following contact phone number (480) 204-6006.

The enumeration date for this NPI number is 4/8/2013 and was last updated on 6/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133NN1002XNutritionistNutrition, EducationNo
2133VN1004XDietitian, RegisteredNutrition, PediatricNo
3133VN1005XDietitian, RegisteredNutrition, RenalNo
4133VN1006XDietitian, RegisteredNutrition, MetabolicNo
5133N00000XNutritionistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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