BRAGG NUTRITION LLC
Dietitian, Registered

Address: 4600 N 24th St Unit 209, Phoenix, AZ 85016-5369

BRAGG NUTRITION LLC (NPI# 1154912590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154912590
Entity Type Organization
Organization Name BRAGG NUTRITION LLC
Practice Address 4600 N 24th St Unit 209
Phoenix
AZ 85016-5369
Practice Telephone 3109682126
Mailing Address 4600 N 24th St Unit 209
Phoenix
AZ 85016-5369
Mailing Telephone 3109682126
Certification Date 2021-01-28
Enumeration Date 2021-01-28
Last Update Date 2021-01-28
Authorized Official Telephone 3109682126
Authorized Official Credential MS, RD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 193400000X SINGLE SPECIALTY GROUP Dietary & Nutritional Service Providers

Office Location

Street Address 4600 N 24TH ST UNIT 209
City PHOENIX
State AZ
Zip Code 85016-5369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700477130 Jennifer Bragg Dietitian, Registered 4600 N 24th St Unit 209, Phoenix, AZ 85016-5369 2021-01-28

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-Oldfield Counselor · Pastoral 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin · Kristin Pauline Meharry Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist · Pediatrics 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
Find all providers in zip 85016

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851982938 Cayla Waxman 150 North 18th Avenue Suite 330, Phoenix, AZ 85007 2021-02-01
1538750864 Brittany Ann Howard · Brittany Ann Klein 150 N 18th Ave Ste 310, Phoenix, AZ 85007-3242 2021-01-29
1790385938 Kylee Makenna Forden 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 2020-10-27
1407467343 Emily Claire Pelham 16601 N 12th St, Phoenix, AZ 85022-2714 2020-08-13
1255956264 Carrie Standage-Beier 6831 S 42nd Pl, Phoenix, AZ 85042-5209 2020-06-15
1447875513 Tyler M Florek 13815 N 34th Ave, Phoenix, AZ 85053-5611 2020-06-14
1467074468 Caitlin May Winsor 4040 E San Gabriel Ave, Phoenix, AZ 85044-1328 2020-05-12
1366083883 Cameron Scholtz 2138 E Lawrence Rd, Phoenix, AZ 85016-1118 2019-10-06
1588219745 Jordan S Jurek 3815 E Bell Rd # 4250, Phoenix, AZ 85032-2122 2019-08-05
1255984035 Rachel Lyn Masser 2810 E Thomas Rd, Phoenix, AZ 85016-8010 2019-07-19
Find all providers in PHOENIX

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City PHOENIX
Zip Code 85016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.