| Southwest Dietitian Group Llc | |
|
428 S Gilbert Rd Ste 106-2, Gilbert, AZ 85296-2263 | |
| (602) 218-5278 | |
| (844) 218-4691 |
| Full Name | Southwest Dietitian Group Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 428 S Gilbert Rd Ste 106-2, Gilbert, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952062275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Maya Elizabeth Nahra |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669798724 PECOS PAC ID: 3476947052 Enrollment ID: I20220224001219 |
| Provider Name | Tiffany Ellegard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588357792 PECOS PAC ID: 1658731385 Enrollment ID: I20230713000994 |
| Provider Name | Madeline Victorine Barker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073398608 PECOS PAC ID: 7416300082 Enrollment ID: I20240130003735 |
| Provider Name | Taylor Kennedy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407680507 PECOS PAC ID: 9436690765 Enrollment ID: I20240926000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Dietitian Group Llc 70 S Val Vista Dr Ste A3-527, Gilbert, AZ 85296-0944 Ph: (602) 218-5278 | Southwest Dietitian Group Llc 428 S Gilbert Rd Ste 106-2, Gilbert, AZ 85296-2263 Ph: (602) 218-5278 |
Devon D Wilson-torres, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1674 E Milky Way, Gilbert, AZ 85295 Phone: 480-329-8712 | |
Mrs. Danielle Alder, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4365 E Pecos Rd Ste 122, Gilbert, AZ 85295 Phone: 480-702-1884 Fax: 602-649-4005 | |
Elva Hooker, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3271 S Loback Ln, Gilbert, AZ 85297 Phone: 480-200-1303 | |
Mrs. Karin M Pryor, R.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2470 S Val Vista Dr, Suite #104, Gilbert, AZ 85295 Phone: 602-770-7611 Fax: 480-505-3077 | |
Paige Botten, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2473 S Higley Rd Ste 104-428, Gilbert, AZ 85295 Phone: 480-678-7580 | |
Megan Briggs, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3285 S Val Vista Dr, Gilbert, AZ 85297 Phone: 480-397-2800 | |
Agnes Koldenhoven, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2470 S Val Vista Dr Ste 104, Gilbert, AZ 85295 Phone: 602-770-7611 |