MS. REVONDOLYN L SCOTT (NPI# 1578505780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578505780 |
| Entity Type | Individual |
| Full Name | MS. REVONDOLYN L SCOTT |
| Credential | RD |
| Practice Address |
8135 W Lynwood St Phoenix AZ 85043 |
| Mailing Address |
8135 W Lynwood St Phoenix AZ 85043-1144 |
| Practice Telephone | 6023302502 |
| Mailing Telephone | 6023302502 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 865489 | Dietary & Nutritional Service Providers | |
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | ND4121 | FL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 University Blvd N, Jacksonville, FL 322119203 | 9046325301 | 9047453099 |
| Street Address |
8135 W LYNWOOD ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1962936112 | Christine B Santa Cruz | Specialist/Technologist | 8101 W. Hammond Ln., Phoenix, AZ 85043 | 2017-04-14 |
| 1558704809 | Valley Independent Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 6408 W Gross Ave, Phoenix, AZ 85043 | 2013-04-16 |
| 1275811598 | Diamond Manor Adult Care | Custodial Care Facility | 7330 W. Getty Drive, Phoenix, AZ 85043 | 2011-08-03 |
| 1821312877 | Bertha Romero | Case Manager/Care Coordinator | 7315 W Jones Ave, Phx, AZ 85043 | 2010-03-19 |
| 1477705788 | Patrick Lynn Perryman | Psychologist | 7250 W Buckeye Rd, Phoenix, AZ 85043 | 2008-10-17 |
| 1891910246 | Sammie Trotter | Technician | 5025 S. 24th Ave, Phoenix, AZ 85043 | 2007-04-13 |
| 1780719617 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6650 W. Lower Buckeye Rd, Phoenix, AZ 85043 | 2007-02-22 |
| 1992713689 | Occupational Health Center of The Southwest Pa | Clinic/Center | 5340 West Buckeye Road, Suite 3, Phoenix, AZ 85043 | 2006-08-04 |
| 1972523710 | William A Crane Jr. | Family Medicine | 7953 W Chickasaw St, Phoenix, AZ 85043 | 2006-07-21 |
| Find all providers in zip 85043 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351217 | Patina Muhammad | Nutritionist | 13811 N 35th Dr Ste A, Phoenix, AZ 85053-5524 | 2019-08-13 |
| 1548738792 | Jared Oppelt | Nutritionist | 2020 W Union Hills Dr Unit 145, Phoenix, AZ 85027-5810 | 2018-11-06 |
| 1114402021 | Debra Brunk | Nutritionist | 1428 E Northern Ave, Phoenix, AZ 85020-4319 | 2018-09-26 |
| 1417448069 | Onye Oma Bahati | Nutritionist | 1813 E Alta Vista Rd, Phoenix, AZ 85042-4579 | 2018-05-18 |
| 1912446113 | Radix Nutrition & Wellness LLC | Nutritionist | 3738 E Weldon Ave, Phoenix, AZ 85018-5816 | 2017-02-21 |
| 1326429697 | Jeanette Rosario | Nutritionist | 1301 E Mcdowell Rd Ste 202, Phoenix, AZ 85006-2665 | 2015-06-12 |
| 1740560333 | Paula Owens | Nutritionist | 4135 E Rockledge Rd, Phoenix, AZ 85044-6770 | 2011-08-26 |
| 1184915720 | Sonnet Bingham Aguirre | Nutritionist | 337 E Coronado Rd Ste 101, Phoenix, AZ 85004 | 2011-05-01 |
| 1669798724 | Maya Elizabeth Nahra | Nutritionist | 6901 E Chauncey Ln Apt 3212, Phoenix, AZ 85054-5149 | 2010-04-14 |
| 1043465206 | Karen Marie Hannah | Nutritionist | 5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211 | 2008-12-01 |
| Find all providers in PHOENIX | ||||
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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.