NICOLE DESIREE LATTANZIO (NPI# 1457791774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457791774 |
| Entity Type | Individual |
| Full Name | NICOLE DESIREE LATTANZIO |
| Credential | RDN |
| Practice Address |
2158 N Gilbert Rd Mesa AZ 85203-2109 |
| Mailing Address |
1935 E 8th St Mesa AZ 85203-6609 |
| Practice Telephone | 4802161635 |
| Mailing Telephone | 4802161635 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1104239 | AZ | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740535905 | Nicole Lattanzio | Student in an Organized Health Care Education/Training Program | 305 Maple St, East Longmeadow, MA 01028-2765 | 2012-07-13 |
| Street Address |
2158 N GILBERT RD |
| City | MESA |
| State | AZ |
| Zip Code | 85203-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568416790 | Rcdc of Mesa Plc | Dermatology | 2158 N Gilbert Rd, Suite 121a, Mesa, AZ 85203-2109 | 2006-05-20 |
| 1093314775 | Naioom Dentistry Pllc | Dentist | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2020-10-22 |
| 1457708786 | Brasiliopuntia, LLC | Dentist | 2158 N Gilbert Rd, Suite 123, Mesa, AZ 85203-2109 | 2016-05-17 |
| 1386020519 | Central Arizona Endoscopy, LLC | Anesthesiology | 2158 N Gilbert Rd, Bldg 1 Suite 103, Mesa, AZ 85203-2109 | 2015-08-11 |
| 1235526906 | Stenopuntia LLC | Dentist | 2158 N Gilbert Rd, Suite 123, Mesa, AZ 85203-2109 | 2015-04-21 |
| 1033508031 | Tephrocactus LLC | Dentist | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2015-01-13 |
| 1730490228 | North Groves Dental Group | Clinic/Center | 2158 N Gilbert Rd, Ste 123, Mesa, AZ 85203 | 2010-06-29 |
| 1083893911 | Lori J Olsen | Counselor | 2158 N Gilbert Rd, Suite 110, Mesa, AZ 85203-2109 | 2007-10-28 |
| 1750312435 | Central Arizona Endoscopy LLC | Clinic/Center | 2158 N Gilbert Rd, Building 1 Suite 103, Mesa, AZ 85203-2112 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| 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 |
|---|---|---|---|---|
| 1619595170 | Landon Hobbs | Dietitian, Registered | 4847 E Harmony Ave, Mesa, AZ 85206-3406 | 2020-07-10 |
| 1891312617 | Cassie M. Mitchell | Dietitian, Registered | 7253 E Catalina Ave, Mesa, AZ 85208-2070 | 2020-06-27 |
| 1932746575 | Patricia Ann Narducci | Dietitian, Registered | 8813 E Norwood Cir, Mesa, AZ 85207-1443 | 2019-12-02 |
| 1790281129 | Wendy Marie Green | Dietitian, Registered | 6124 E Brown Rd Ste 102, Mesa, AZ 85205-4959 | 2018-04-04 |
| 1912407446 | Tonya Lorraine Keyes-christianson | Dietitian, Registered | 1938 N 67th St, Mesa, AZ 85205-3776 | 2018-02-21 |
| 1447794235 | Crandall & Associates Consulting | Dietitian, Registered | 1930 N Arboleda, Suite 101, Mesa, AZ 85213-3212 | 2016-12-13 |
| 1215481650 | Audrey Lally | Dietitian, Registered | 2309 E Lynwood St, Mesa, AZ 85213-2229 | 2016-08-14 |
| 1932574472 | Darcy Leon | Dietitian, Registered | 11038 E Sutter Ave, Mesa, AZ 85212-2603 | 2015-12-09 |
| 1932530771 | Nutrifyi, LLC | Dietitian, Registered | 544 N Alma School Rd, #5, Mesa, AZ 85201-5473 | 2013-12-04 |
| 1093146128 | Antoinetta V Anselmo | Dietitian, Registered | 544 N Alma School Rd Unit 5, Mesa, AZ 85201-5474 | 2013-11-27 |
| Find all providers in MESA | ||||
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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.