DAISHAWN ROYLANCE RD
NPI 1053288654
Dietitian, Registered in Glendale, AZ

Q: What is Daishawn Roylance's NPI number?

The NPI number for Daishawn Roylance is 1053288654. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Q: What is Daishawn Roylance's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Daishawn Roylance was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 20, 2025

18001 N 79TH AVE STE A12, GLENDALE, AZ 85308(623) 399-6825(623) 505-3474 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Daishawn Roylance Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAISHAWN ROYLANCE RD (NPI 1053288654) is an individual dietitian, registered in Glendale, Arizona, licensed in Arizona (86375384) and active in the NPI registry since October 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1053288654

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameDAISHAWN ROYLANCECredential: RD

Location Address18001 N 79TH AVE STE A12Glendale, AZ 85308-8398

Mailing Address18001 N 79th Ave Ste A12Glendale, AZ 85308-8398 · (623) 399-6825 · Fax (623) 505-3474

Phone(623) 399-6825

Fax(623) 505-3474

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1053288654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 86375384

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

18001 N 79TH AVE STE A12, Glendale, AZ 85308

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daishawn Roylance Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143710657

PECOS Enrollment IDI20251104001720

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AM NUTRITION SERVICES

Dietitian, Registered