BETHANY HULTSTRAND RDN
NPI 1174063176
Dietitian, Registered in Phoenix, AZ

Active since February 24, 2017
220 S 12TH AVE, PHOENIX, AZ 85007(602) 372-2142 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bethany Hultstrand Rdn NPPES

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

BETHANY HULTSTRAND RDN (NPI 1174063176) is an individual dietitian, registered in Phoenix, Arizona, licensed in (86031850) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1174063176
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBETHANY HULTSTRANDCredential: RDN
Location Address220 S 12TH AVEPhoenix, AZ 85007-3101
Mailing Address3234 N 38th St Apt 15Phoenix, AZ 85018-6339 · (612) 644-0811
Sole ProprietorNo
Enumeration DateFebruary 24, 2017
NPI 1174063176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed · 86031850
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.

220 S 12TH AVE, Phoenix, AZ 85007

Other Providers at the Same Location NPPES 9

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

Physician Assistant (Medical)
220 S 12TH AVE
PHOENIX, AZ 85007
Family Medicine
220 S 12TH AVE
PHOENIX, AZ 85007
Social Worker (Clinical)
220 S 12TH AVE
PHOENIX, AZ 85007
Nurse Practitioner
220 S 12TH AVE
PHOENIX, AZ 85007
Physician Assistant
220 S 12TH AVE
PHOENIX, AZ 85007
Non-emergency Medical Transport (VAN)
220 S 12TH AVE
PHOENIX, AZ 85007
Registered Nurse
220 S 12TH AVE
PHOENIX, AZ 85007
Clinic/Center (Federally Qualified Health Center (FQHC))
220 S 12TH AVE
PHOENIX, AZ 85007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174063176, enumerated as an "individual" on February 24, 2017.

The provider is located at 220 S 12TH AVE PHOENIX, AZ 85007 and the phone number is (602) 372-2142.

Dietitian, Registered with taxonomy code 133V00000X.