MISS NICOLE DION SANTONASTASO (NPI# 1396208625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396208625 |
| Entity Type | Individual |
| Full Name | MISS NICOLE DION SANTONASTASO |
| Credential | RDN, CLC, IBCLC, CDE |
| Practice Address |
1920 E Cambridge Ave Phoenix AZ 85006-1459 |
| Mailing Address |
3200 E Camelback Rd Ste 250 Phoenix AZ 85018-2327 |
| Practice Telephone | 6029330618 |
| Mailing Telephone | 6029331813 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers | ||
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 374J00000X | Doula | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 529668 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5414 N 79th Way, Scottsdale, AZ 852507622 | 9786961768 |
| Street Address |
1920 E CAMBRIDGE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630657 | Elisabet Prieto | Nurse Practitioner | 1920 E Cambridge Ave, Suite 301, Phoenix, AZ 85006-1459 | 2005-06-22 |
| 1518486216 | Brianna Pruniski | Genetic Counselor, MS | 1920 E Cambridge Ave, Rosenberg Children's Medical Plaza, Suite 304, Phoenix, AZ 85006 | 2017-09-13 |
| 1063942639 | Allison Sayer | Audiologist | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 | 2017-06-15 |
| 1578969739 | Ashley Ortiz | Physician Assistant | 1920 E Cambridge Ave, Ste 302, Phoenix, AZ 85006-1459 | 2014-11-14 |
| 1932412152 | Andrea Marie Darosa | Dietitian, Registered | 1920 E Cambridge Ave, Suite 301, Phoenix, AZ 85006-1459 | 2010-07-16 |
| 1689986002 | Sheena Sharma | Pediatrics | 1920 E Cambridge Ave, 200, Phoenix, AZ 85006-1459 | 2010-07-14 |
| 1326363318 | Andrea Anne Ramirez | Pediatrics | 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85006-1459 | 2010-04-01 |
| 1669590543 | Mark Steven Molitor Jr. | Surgery | 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 | 2007-03-27 |
| 1336264944 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1920 E Cambridge Ave, Rosenberg Pl, Bdg E, Suite 205, Phoenix, AZ 85006-1459 | 2007-03-20 |
| 1790809168 | Byron James Garn | Pediatrics | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1255956264 | Carrie Standage-beier | Dietitian, Registered | 6831 S 42nd Pl, Phoenix, AZ 85042-5209 | 2020-06-15 |
| 1447875513 | Tyler M Florek | Dietitian, Registered | 13815 N 34th Ave, Phoenix, AZ 85053-5611 | 2020-06-14 |
| 1467074468 | Caitlin May Winsor | Dietitian, Registered | 4040 E San Gabriel Ave, Phoenix, AZ 85044-1328 | 2020-05-12 |
| 1366083883 | Cameron Scholtz | Dietitian, Registered | 2138 E Lawrence Rd, Phoenix, AZ 85016-1118 | 2019-10-06 |
| 1588219745 | Jordan S Jurek | Dietitian, Registered | 3815 E Bell Rd # 4250, Phoenix, AZ 85032-2122 | 2019-08-05 |
| 1255984035 | Rachel Lyn Masser | Dietitian, Registered | 2810 E Thomas Rd, Phoenix, AZ 85016-8010 | 2019-07-19 |
| 1811555915 | Laurie Bradley Mcdonald | Dietitian, Registered | 13842 S 32nd St, Phoenix, AZ 85044-3615 | 2019-06-03 |
| 1083270821 | Kaitlyn C Werner | Dietitian, Registered | 3815 E Bell Rd Ste 4250, Phoenix, AZ 85032-2122 | 2019-05-16 |
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| 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.