| Annie Dodt, RDN | |
|
11851 N 51st Ave Ste B110, Glendale, AZ 85304-2823 | |
| (480) 882-4545 | |
| Not Available |
| Full Name | Annie Dodt |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 11851 N 51st Ave Ste B110, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164159612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Arizona) | Secondary |
| 133V00000X | Dietitian, Registered | 86078788 (Arizona) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Dodt, RDN 7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668 Ph: (480) 882-4545 | Annie Dodt, RDN 11851 N 51st Ave Ste B110, Glendale, AZ 85304-2823 Ph: (480) 882-4545 |
Am Nutrition Services Dietitian Medicare: Medicare Enrolled Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Cara Jansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Jacqueline Carbajal, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Kelly Creed, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 |
Jazmin Denise Mickens, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 |
Ms. Kaitlyn Marie Shannon, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 Phone: 602-341-5248 Fax: 602-702-5219 |
Ms. Kathryn Anne Mason, REGISTERED DIETITIAN Dietitian Medicare: Medicare Enrolled Practice Location: 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |